Healthcare Provider Details

I. General information

NPI: 1215846167
Provider Name (Legal Business Name): MARILYN MEJIA MENTAL HEALTH COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 NASSAU BLVD
WEST HEMPSTEAD NY
11552-1027
US

IV. Provider business mailing address

109 NASSAU BLVD
WEST HEMPSTEAD NY
11552-1027
US

V. Phone/Fax

Practice location:
  • Phone: 516-836-7135
  • Fax:
Mailing address:
  • Phone: 516-836-7135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARILYN MEJIA
Title or Position: OWNER
Credential: LMHC-D
Phone: 516-836-7135