Provider Demographics
NPI:1427818137
Name:PAPPAS, VASSILIKI (MSED, MHC-LP, NCC)
Entity type:Individual
Prefix:
First Name:VASSILIKI
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:MSED, MHC-LP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 MILL SPRING RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3624
Mailing Address - Country:US
Mailing Address - Phone:516-640-8844
Mailing Address - Fax:
Practice Address - Street 1:211 BROADWAY STE 207
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3290
Practice Address - Country:US
Practice Address - Phone:516-825-6567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18-P127574-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health