MEDICARE: STEPHANIE HAKIMIAN DENMON LMFT

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	101YM0800X	Mental Health Counselor	002173	NY

General Provider Information

NPI Number	:	1063365690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE HAKIMIAN DENMON LMFT

Provider Business Mailing Address
First Line	:	102 WEDGEWOOD AVE
Second Line	:
City	:	WOODBRIDGE
State	:	NJ
Zip	:	07095-3526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2319 TIEMANN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-6327
Country	:	US
Telephone Number	:	914-712-8435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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