Provider Demographics
NPI:1528871829
Name:MOLLER, CHRISTOPHER HARRY (MHC-LP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HARRY
Last Name:MOLLER
Suffix:
Gender:M
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 1:297 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2922
Mailing Address - Country:US
Mailing Address - Phone:917-831-7700
Mailing Address - Fax:
Practice Address - Street 1:380 LEXINGTON AVE STE 487
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10168-0002
Practice Address - Country:US
Practice Address - Phone:917-831-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health