MEDICARE: MRS. VANESSA CHONOU LABOUNTY 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	017328	NY

General Provider Information

NPI Number	:	1891514766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANESSA CHONOU LABOUNTY LMHC

Provider Business Mailing Address
First Line	:	300 CADMAN PLZ W FL 12
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3226
Country	:	US
Telephone Number	:	413-274-8036
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-1160
Country	:	US
Telephone Number	:	413-274-8036
Fax Number	:

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

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	06/03/2026

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