Basic Information
Provider Information
NPI: 1831521624
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VERMA
FirstName: ADITI
MiddleName:  
NamePrefix:  
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Credential: LMHC, MA, MED
OtherOrganizationName:  
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Mailing Information
Address1: 530 E 13TH ST
Address2: APARTMENT 38
City: NEW YORK
State: NY
PostalCode: 100093504
CountryCode: US
TelephoneNumber: 6468421665
FaxNumber:  
Practice Location
Address1: 19 UNION SQ W
Address2: 7TH FLOOR
City: NEW YORK
State: NY
PostalCode: 100033304
CountryCode: US
TelephoneNumber: 2126279600
FaxNumber: 2126274040
Other Information
ProviderEnumerationDate: 08/02/2013
LastUpdateDate: 02/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X  N Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YM0800X006719NYY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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