Provider Demographics
NPI:1427770155
Name:LE MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:LE MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-396-2329
Mailing Address - Street 1:4322 QUEENS ST APT 601
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-7926
Mailing Address - Country:US
Mailing Address - Phone:917-396-2329
Mailing Address - Fax:
Practice Address - Street 1:4322 QUEENS ST APT 601
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-7926
Practice Address - Country:US
Practice Address - Phone:917-396-2329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty