Healthcare Provider Details

I. General information

NPI: 1285297002
Provider Name (Legal Business Name): ADINA BABAD LMHC-D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 W SUNRISE HWY # 1097
VALLEY STREAM NY
11581-1102
US

IV. Provider business mailing address

80 W SUNRISE HWY # 1097
VALLEY STREAM NY
11581-1102
US

V. Phone/Fax

Practice location:
  • Phone: 347-403-9742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009393
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: