Provider Demographics
NPI:1962756395
Name:DUCAT, HENRY HILLEL (LMHC)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:HILLEL
Last Name:DUCAT
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17402 73RD AVE
Mailing Address - Street 2:PH
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1404
Mailing Address - Country:US
Mailing Address - Phone:718-969-4684
Mailing Address - Fax:
Practice Address - Street 1:174 02 73 AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1404
Practice Address - Country:US
Practice Address - Phone:718-969-4684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002583-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health