ASIA JAYLEEN LANDAVERDE MHC
NPI 1912794108
Counselor - Mental Health in Bronx, NY
Active since April 22, 2025
About Asia Jayleen Landaverde Mhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASIA JAYLEEN LANDAVERDE MHC (NPI 1912794108) is an individual mental health provider in Bronx, New York and active in the NPI registry since April 2025.
NPPES Registry Identity
NPI1912794108
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASIA JAYLEEN LANDAVERDECredential: MHC
Location Address579 COURTLANDT AVENUEBronx, NY 10451
Mailing Address3856 Bronx Blvd Apt 7aBronx, NY 10467-5213 · (646) 609-0656
Phone(718) 485-2100
Sole ProprietorYes
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1912794108 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
579 COURTLANDT AVENUE, Bronx, NY 10451
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912794108, enumerated as an "individual" on April 22, 2025.
The provider is located at 579 COURTLANDT AVENUE BRONX, NY 10451 and the phone number is (718) 485-2100.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.