Provider Demographics
NPI:1932905296
Name:KONTOGIORGE, GEORGIA (MHC-LP)
Entity type:Individual
Prefix:MS
First Name:GEORGIA
Middle Name:
Last Name:KONTOGIORGE
Suffix:
Gender:F
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 1:2315 ASTORIA BLVD APT 2A
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4462
Mailing Address - Country:US
Mailing Address - Phone:718-916-3000
Mailing Address - Fax:
Practice Address - Street 1:2315 ASTORIA BLVD APT 2A
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-4462
Practice Address - Country:US
Practice Address - Phone:718-916-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health