LIFESPAN WELLNESS MARRIAGE & FAMILY THERAPY PLLC
NPI 1982185161
Marriage & Family Therapist in Bayside, NY

Active since August 24, 2018
21333 39TH AVE STE 235, BAYSIDE, NY 11361(917) 913-6441 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2018, Aug 24, 2018 (2 updates tracked since 2018).

About Lifespan Wellness Marriage & Family Therapy Pllc NPPES

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

LIFESPAN WELLNESS MARRIAGE & FAMILY THERAPY PLLC (NPI 1982185161) is a healthcare organization registered as a marriage & family therapist in Bayside, New York and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Flushing and lists Maria Constantinou, Director, as its authorized official.

NPPES Registry Identity

NPI1982185161
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIFESPAN WELLNESS MARRIAGE & FAMILY THERAPY PLLC
Location Address21333 39TH AVE STE 235Bayside, NY 11361-2174
Mailing Address2608 Bayside LnFlushing, NY 11358-1054
Organization SubpartNo
Authorized OfficialMaria ConstantinouDirector · (917) 913-6441
Enumeration DateAugust 24, 2018
Last NPPES UpdateNovember 30, 20182 updates tracked since enumeration
NPI 1982185161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NY · 001372
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
21333 39TH AVE STE 235, Bayside, NY 11361

Secondary Practice Location 1

Location 12391 Bell Blvd Ste 202Flushing, NY 11360-2019 · Phone (917) 913-6441

Other Identifiers 1

Other1730626896NY · Nppes

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
21333 39TH AVE STE 235
BAYSIDE, NY 11361

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 Lifespan Wellness Marriage & Family Therapy PLLC's NPI number?

The NPI number for Lifespan Wellness Marriage & Family Therapy PLLC is 1982185161. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Lifespan Wellness Marriage & Family Therapy PLLC located?

Lifespan Wellness Marriage & Family Therapy PLLC is located at 21333 39th Ave Ste 235, Bayside, NY 11361. The listed phone number is (917) 913-6441.

What is Lifespan Wellness Marriage & Family Therapy PLLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Lifespan Wellness Marriage & Family Therapy PLLC was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.