Healthcare Provider Details

I. General information

NPI: 1285583823
Provider Name (Legal Business Name): JOY FLOW PSYCHOTHERAPY LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 ASCAN ST
VALLEY STREAM NY
11580-1520
US

IV. Provider business mailing address

911 ASCAN ST
VALLEY STREAM NY
11580-1520
US

V. Phone/Fax

Practice location:
  • Phone: 929-777-5109
  • Fax:
Mailing address:
  • Phone: 929-777-5109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WING SHUEN TOM
Title or Position: LICENSE CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 929-777-5109