# IHSAN NURAH COUNSELING & MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033934054
- **Authorized official:** SAMIRA HAFIZ PMHNP-BC (OWNER)
- **Authorized official phone:** (347) 968-7277

## Contact information

- **Practice address:** 100 CHURCH ST RM 800, NEW YORK, NY 10007-2621
- **Practice address phone:** (347) 968-7277
- **Mailing address:** 4309 BRISTOL STATION CT, CARTERET, NJ 07008-3163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 11/21/2024