Provider Demographics
NPI:1063632339
Name:BLEKH, INNA A (LMHC)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:A
Last Name:BLEKH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14431 41ST AVE
Mailing Address - Street 2:3 F
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1409
Mailing Address - Country:US
Mailing Address - Phone:718-359-4423
Mailing Address - Fax:
Practice Address - Street 1:14431 41ST AVE
Practice Address - Street 2:3F
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1459
Practice Address - Country:US
Practice Address - Phone:718-359-4423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5682893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health