Provider Demographics
NPI:1407200827
Name:ARTETA, ROSANA VANESA (LMHC)
Entity type:Individual
Prefix:
First Name:ROSANA
Middle Name:VANESA
Last Name:ARTETA
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 1:1258 CROSBY AVE
Mailing Address - Street 2:1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-6130
Mailing Address - Country:US
Mailing Address - Phone:646-209-9939
Mailing Address - Fax:
Practice Address - Street 1:1258 CROSBY AVE
Practice Address - Street 2:1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-6130
Practice Address - Country:US
Practice Address - Phone:646-209-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health