=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316832660
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAKOON SPACE MENTAL HEALTH COUNSELING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2025
-----------------------------------------------------
Last Update Date | 06/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2466 E 21ST ST FL 2
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11235-2904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-679-4342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2466 E 21ST ST FL 2
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11235-2904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-679-4342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HAJRA MUNIR
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 718-679-4342
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------