Provider Demographics
NPI:1992967848
Name:KABAT-REY, JOANNA (LMHC LCAT CASAC)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:KABAT-REY
Suffix:
Gender:F
Credentials:LMHC LCAT CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11525 84TH AVE APT 4H
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1413
Mailing Address - Country:US
Mailing Address - Phone:718-459-0472
Mailing Address - Fax:
Practice Address - Street 1:11525 84TH AVE APT 4H
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1413
Practice Address - Country:US
Practice Address - Phone:718-459-0472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002205101YM0800X
NY17487101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)