Provider Demographics
NPI:1104349026
Name:FELDMAN, ELENI (LMHC)
Entity type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:FELDMAN
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 1:32 GARDENIA LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3306
Mailing Address - Country:US
Mailing Address - Phone:516-426-7898
Mailing Address - Fax:
Practice Address - Street 1:400 POST AVE STE 200
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2226
Practice Address - Country:US
Practice Address - Phone:610-639-9217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2023-08-03
Deactivation Date:2018-09-26
Deactivation Code:
Reactivation Date:2018-10-03
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY011716101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program