Individual provider · NPI-1

Diana Khavasova

Counselor, Mental Health · Pearl River, NY

NPI number1023912565
StatusActive
Last updated in NPPESOct 7, 2026

Details

NPI
1023912565
Entity type
Individual (NPI-1)
Name
Diana Khavasova
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2026
Certification date
Oct 7, 2026
Last updated
Oct 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health793229NYYes

Practice location

501 Gilbert Ave
Pearl River, NY 10965-3318

Phone 646-645-4327

Mailing address

501 Gilbert Ave
Pearl River, NY 10965-3318

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