Blue Spring Lcsw PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Great Neck, NY. Organization (NPI-2).
NPI number1356298731
StatusActive
Last updated in NPPESMay 17, 2026
Details
- NPI
- 1356298731
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Spring Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2026
- Certification date
- May 17, 2026
- Last updated
- May 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
475 Northern Blvd Ste 12Great Neck, NY 11021-4802
Phone 646-801-6368
Mailing address
2310 Jericho Tpke # 1060Garden City Park, NY 11040-4721
Authorized official
Miaoying Zhu
Owner
9178286878
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