Provider Demographics
NPI:1417798174
Name:JOURIEH, MAYA (MHC-LP)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:JOURIEH
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9956 3RD AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7930
Mailing Address - Country:US
Mailing Address - Phone:718-873-7420
Mailing Address - Fax:
Practice Address - Street 1:18 E 41ST ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6258
Practice Address - Country:US
Practice Address - Phone:646-760-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP128474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health