MEDICARE: ABC MENTAL HEALTH COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1013773613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	4601 SHERIDAN ST STE 501
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3435
Country	:	US
Telephone Number	:	866-352-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2959 AVENUE Y
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1624
Country	:	US
Telephone Number	:	866-352-5010
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	YAKOV HALBERSTAM
Credential	:
Telephone Number	:	866-352-5010

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	12/02/2025

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