Healthcare Provider Details

I. General information

NPI: 1063101970
Provider Name (Legal Business Name): J&S MENTAL HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W MERRICK RD STE 17
VALLEY STREAM NY
11580-5201
US

IV. Provider business mailing address

430 W MERRICK RD STE 17
VALLEY STREAM NY
11580-5201
US

V. Phone/Fax

Practice location:
  • Phone: 516-350-0026
  • Fax:
Mailing address:
  • Phone: 516-350-0026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SABRINA KRISTA SABELLA-ARCE
Title or Position: OWNER
Credential: LMHC
Phone: 347-687-2223