MEDICARE: MISS ADAH LOU SCHLECTMAN 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	003953	NY

General Provider Information

NPI Number	:	1861765570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ADAH LOU SCHLECTMAN LMHC

Provider Business Mailing Address
First Line	:	10240 67TH RD APT 6X
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2634
Country	:	US
Telephone Number	:	646-238-9353
Fax Number	:

Provider Business Practice Location Address
First Line	:	10240 67TH RD APT 6X
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2634
Country	:	US
Telephone Number	:	646-238-9353
Fax Number	:

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

Provider Enumeration Date	:	02/13/2012
Last Update Date	:	10/16/2024

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