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Organization
THERAPISTA NY MENTAL HEALTH COUNSELING PLLC
Active
Organization
THERAPISTA NY MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BUSTILLO (OWNER)
(718) 801-4675
Entity
Organization
Contact information
Practice address
9208 ROCKAWAY FWY APT 1, ROCKAWAY BEACH, NY 11693-1839
(718) 801-4675
Mailing address
9208 ROCKAWAY FWY APT 1, ROCKAWAY BEACH, NY 11693-1839
(718) 801-4675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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