Provider Demographics
NPI:1225390628
Name:CALIXTE, VLADIMIRE (LMHC, CRC,, MA)
Entity type:Individual
Prefix:
First Name:VLADIMIRE
Middle Name:
Last Name:CALIXTE
Suffix:
Gender:F
Credentials:LMHC, CRC,, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 3RD AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6601
Mailing Address - Country:US
Mailing Address - Phone:347-874-6777
Mailing Address - Fax:347-789-5165
Practice Address - Street 1:845 3RD AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6601
Practice Address - Country:US
Practice Address - Phone:347-874-6777
Practice Address - Fax:347-789-5165
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health