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NPI Code Detail

MEDICARE: KASANDRA REYES LMHC

MEDICARE:   KASANDRA  REYES  LMHC
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
1101YM0800XMental Health Counselor011195NY

General Provider Information

NPI Number : 1174188247
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASANDRA REYES LMHC
Provider Business Mailing Address
First Line : 2303 BATHGATE AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-7886
Country : US
Telephone Number : 646-427-7714
Fax Number :
Provider Business Practice Location Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2019
Last Update Date : 12/23/2025

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Directions to “ KASANDRA REYES LMHC” Practice Location

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