Provider Demographics
NPI:1285168625
Name:BEGAWALA, MENAHAL (LMHC)
Entity type:Individual
Prefix:
First Name:MENAHAL
Middle Name:
Last Name:BEGAWALA
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 1:1979 MARCUS AVE # ARE210
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1076
Mailing Address - Country:US
Mailing Address - Phone:646-384-9442
Mailing Address - Fax:
Practice Address - Street 1:1979 MARCUS AVE STE 210
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1022
Practice Address - Country:US
Practice Address - Phone:646-384-9442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2019-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007792101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health