Healthcare Provider Details

I. General information

NPI: 1780502278
Provider Name (Legal Business Name): CLAUDIA XIMENA FLORESDEVALGAZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22149 MANOR RD FL 1
QUEENS VILLAGE NY
11427-2027
US

IV. Provider business mailing address

8916 204TH ST
HOLLIS NY
11423-2208
US

V. Phone/Fax

Practice location:
  • Phone: 646-730-0534
  • Fax:
Mailing address:
  • Phone: 646-798-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number006372
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: