Heather Sofia
Counselor, Mental Health in Staten Island, NY. Individual provider (NPI-1).
NPI number1164066429
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1164066429
- Entity type
- Individual (NPI-1)
- Name
- Heather Sofia
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2019
- Certification date
- Jan 22, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
98 E Macon AveStaten Island, NY 10308-1211
Phone 347-517-5851
Mailing address
98 E Macon AveStaten Island, NY 10308-1211
Phone 347-517-5851
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