MEDICARE: MS. LAURA CECILIA BADEN 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	01037401	NY

General Provider Information

NPI Number	:	1770022675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA CECILIA BADEN LMHC

Provider Business Mailing Address
First Line	:	342 ATLANTIC AVE
Second Line	:
City	:	EAST ROCKAWAY
State	:	NY
Zip	:	11518-1144
Country	:	US
Telephone Number	:	516-592-8359
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 NEW HYDE PARK RD STE 104
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1205
Country	:	US
Telephone Number	:	845-279-5908
Fax Number	:

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

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	05/07/2024

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