Basic Information
| Provider Information | |||||||||
| NPI: | 1609278720 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALSAIDI | ||||||||
| FirstName: | RASHA | ||||||||
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| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2006 MADISON AVE | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100351217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126330800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1894 WALTON AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104536018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185833060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2014 | ||||||||
| LastUpdateDate: | 11/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 101YM0800X | 009271 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.