Provider Demographics
NPI:1093524696
Name:DAI, YUSANG (LMHC)
Entity type:Individual
Prefix:
First Name:YUSANG
Middle Name:
Last Name:DAI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:YUSANG
Other - Middle Name:
Other - Last Name:DAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DAISY
Mailing Address - Street 1:253 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7827
Mailing Address - Country:US
Mailing Address - Phone:212-720-4540
Mailing Address - Fax:212-732-9754
Practice Address - Street 1:253 SOUTH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7827
Practice Address - Country:US
Practice Address - Phone:212-720-4540
Practice Address - Fax:212-732-9754
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health