Provider Demographics
NPI:1285487785
Name:NARCISSE, JOSEPHINE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:NARCISSE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 DAVIDSON ST
Mailing Address - Street 2:
Mailing Address - City:WYANDANCH
Mailing Address - State:NY
Mailing Address - Zip Code:11798-4408
Mailing Address - Country:US
Mailing Address - Phone:929-350-3239
Mailing Address - Fax:
Practice Address - Street 1:98 DAVIDSON ST
Practice Address - Street 2:
Practice Address - City:WYANDANCH
Practice Address - State:NY
Practice Address - Zip Code:11798-4408
Practice Address - Country:US
Practice Address - Phone:929-350-3239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014542-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health