Healthcare Provider Details

I. General information

NPI: 1407779283
Provider Name (Legal Business Name): JOANNE PAUL-PASCAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 KING ST
RYE BROOK NY
10573-1042
US

IV. Provider business mailing address

992 KING ST
RYE BROOK NY
10573-1042
US

V. Phone/Fax

Practice location:
  • Phone: 347-518-9756
  • Fax:
Mailing address:
  • Phone: 347-518-9756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number114682
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: