Organization
VIBRANT WOMEN WELLNESS COUNSELING, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAZEEDA ABDUR-RAHMAN PH.D,. LCSW (OWNER)
(718) 844-5390
Entity
Organization
Contact information
Practice address
7580 184TH ST, FRESH MEADOWS, NY 11366-1715
(718) 844-5390
(718) 732-2656
Mailing address
7580 184TH ST, FRESH MEADOWS, NY 11366-1715
(718) 844-5390
(718) 732-2656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
09/11/2023
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