Provider Demographics
NPI:1154690857
Name:NASIHA COUNSELING
Entity type:Organization
Organization Name:NASIHA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-517-5128
Mailing Address - Street 1:15349 78TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1708
Mailing Address - Country:US
Mailing Address - Phone:646-926-6675
Mailing Address - Fax:
Practice Address - Street 1:77 WATER ST
Practice Address - Street 2:STE 854
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-4401
Practice Address - Country:US
Practice Address - Phone:646-926-6675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-26
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0779231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty