Provider Demographics
NPI:1588079875
Name:COHEN, PAULA (PESHA) ((MA), LMHC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:(PESHA)
Last Name:COHEN
Suffix:
Gender:F
Credentials:(MA), LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WEST 82ND STREET
Mailing Address - Street 2:#6
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-769-0747
Mailing Address - Fax:
Practice Address - Street 1:135 WEST 82ND STREET
Practice Address - Street 2:#6
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-769-0747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002349-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health