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EIDOLON THERAPEUTIC COUNSELING LLC
NPI 1295422459
Clinic/Center - Adult Mental Health in New York, NY

Active since April 19, 2023
10 PARK AVE, NEW YORK, NY 10016(646) 460-2543 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eidolon Therapeutic Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EIDOLON THERAPEUTIC COUNSELING LLC (NPI 1295422459) is a healthcare organization registered as an adult mental health in New York, New York and active in the NPI registry since April 2023. The organization lists Fredbrick Bush, Owner, as its authorized official.

NPPES Registry Identity

NPI1295422459
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEIDOLON THERAPEUTIC COUNSELING LLC
Location Address10 PARK AVENew York, NY 10016-4338
Mailing Address10 Park AveNew York, NY 10016-4338
Phone(646) 460-2543
Organization SubpartNo
Authorized OfficialFredbrick BushOwner · (646) 460-2543
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1295422459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
10 PARK AVE, New York, NY 10016
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA ANN GORDIAN MD
Radiology (Diagnostic Radiology)
10 PARK AVE, 28A
NEW YORK, NY 10016
New York County (212) 446-8619
CITY AND COUNTRY PSYCHOLOGY PLLC
Psychologist (Clinical)
10 PARK AVE, SUITE 2D
NEW YORK, NY 10016
New York County (347) 746-8396
JASON BRAITHWAITE D.C.
Chiropractor
10 PARK AVE, SUITE 2D
NEW YORK, NY 10016
New York County (646) 468-3325
MR. ZACHARY ERNEST LINHART
Student in an Organized Health Care Education/Training Program
10 PARK AVE, APT. 24K
NEW YORK, NY 10016
New York County (914) 552-9194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eidolon Therapeutic Counseling LLC's NPI number?

The NPI number for Eidolon Therapeutic Counseling LLC is 1295422459. It was assigned to this organization in the NPPES registry on April 19, 2023.

Where is Eidolon Therapeutic Counseling LLC located?

Eidolon Therapeutic Counseling LLC is located at 10 Park Ave, New York, NY 10016. The listed phone number is (646) 460-2543.

What is Eidolon Therapeutic Counseling LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Eidolon Therapeutic Counseling LLC was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.