MEDICARE: MONA STEVENSON 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	005983	NY

General Provider Information

NPI Number	:	1689092637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONA STEVENSON LMHC

Provider Business Mailing Address
First Line	:	26 COURT STREET
Second Line	:	SUITE 600
City	:	BROOKLYN
State	:	NY
Zip	:	11242
Country	:	US
Telephone Number	:	718-510-6545
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 COURT ST STE 600
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11242-1106
Country	:	US
Telephone Number	:	718-510-6545
Fax Number	:

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

Provider Enumeration Date	:	04/06/2014
Last Update Date	:	03/17/2018

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