MEDICARE: PRIYA HARIKRISHNAN PULIYAMPET 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
1	101YM0800X	Mental Health Counselor	102554-01	NY

General Provider Information

NPI Number	:	1558912519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA HARIKRISHNAN PULIYAMPET LMHC

Provider Business Mailing Address
First Line	:	1240 E 91ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3913
Country	:	US
Telephone Number	:	718-614-0591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 E 91ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3913
Country	:	US
Telephone Number	:	718-614-0591
Fax Number	:

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

Provider Enumeration Date	:	09/21/2019
Last Update Date	:	05/02/2025

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