Healthcare Provider Details

I. General information

NPI: 1487535530
Provider Name (Legal Business Name): ALEXA SOFIA NEWMAN LMHC LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2285 VICTORY BLVD
STATEN ISLAND NY
10314-6631
US

IV. Provider business mailing address

135 99TH ST
BROOKLYN NY
11209-7901
US

V. Phone/Fax

Practice location:
  • Phone: 917-703-5024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: