=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053258582
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AHDIA ALMA COUNSELING, LCSW, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 630 TULIP AVE
-----------------------------------------------------
City | FLORAL PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11001-3755
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-362-0777
-----------------------------------------------------
Fax | 917-362-0777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 630 TULIP AVE
-----------------------------------------------------
City | FLORAL PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11001-3755
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-362-0777
-----------------------------------------------------
Fax | 917-362-0777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JESSICA OLIVEIRA HADDAD
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 917-362-0777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------