=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790500106
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EXPLORE YOUR THOUGHTS MENTAL HEALTH COUNSELING SERVICES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2024
-----------------------------------------------------
Last Update Date | 11/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 650 LENOX AVE APT 6H
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10037-1034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-910-0379
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 650 LENOX AVE APT 6H
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10037-1034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-910-0379
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. CHAMIKA BARRANT
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 347-755-1378
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------