Autumn Rain Randall, MHC-LP
Counselor, Mental Health in Rego Park, NY. Individual provider (NPI-1).
NPI number1104780378
StatusActive
Last updated in NPPESDec 12, 2025
Details
- NPI
- 1104780378
- Entity type
- Individual (NPI-1)
- Name
- Ms. Autumn Rain Randall
- Credential
- MHC-LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2025
- Certification date
- Dec 12, 2025
- Last updated
- Dec 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | p140191 | NY | Yes |
Practice location
6336 99th StRego Park, NY 11374-1979
Phone 718-459-2558 · Fax 718-770-7676
Mailing address
6336 99th StRego Park, NY 11374-1979
Phone 718-459-2558 · Fax 718-770-7676
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All 43 Mental Health Counselor providers in Rego Park · All 1,980 providers in Rego Park
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