Healthcare Provider Details

I. General information

NPI: 1801750807
Provider Name (Legal Business Name): UPAYA MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 JAMAICA AVE APT 2F
RICHMOND HILL NY
11418-2695
US

IV. Provider business mailing address

PO BOX 120280
SAINT ALBANS NY
11412-0280
US

V. Phone/Fax

Practice location:
  • Phone: 929-725-6009
  • Fax:
Mailing address:
  • Phone: 929-725-6009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. YVONNE MARIE GAYLE
Title or Position: SOLE PROPRIETOR
Credential: LCSW, CASAC-M
Phone: 929-725-6009