Provider Demographics
NPI:1336954221
Name:SYBIL OTTENSTEIN MENTAL HEALTH COUNSELOR
Entity type:Organization
Organization Name:SYBIL OTTENSTEIN MENTAL HEALTH COUNSELOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYBIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OTTENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-539-7889
Mailing Address - Street 1:36 WAVERLY AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-1236
Mailing Address - Country:US
Mailing Address - Phone:917-539-7889
Mailing Address - Fax:
Practice Address - Street 1:260 CUMBERLAND ST APT 21
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4694
Practice Address - Country:US
Practice Address - Phone:917-539-7889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty