Provider Demographics
NPI:1558892174
Name:AVENT, PERRIN M (LCAT, ATR-BC, MS)
Entity type:Individual
Prefix:MS
First Name:PERRIN
Middle Name:M
Last Name:AVENT
Suffix:
Gender:F
Credentials:LCAT, ATR-BC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-5433
Mailing Address - Country:US
Mailing Address - Phone:646-901-0797
Mailing Address - Fax:
Practice Address - Street 1:812 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-5433
Practice Address - Country:US
Practice Address - Phone:646-901-0797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002060221700000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist