Individual provider · Type 1 NPI

Autumn Rain Randall, MHC-LP

Mental Health Counselor · Rego Park, NY

NPI number 1104780378 Active

Practice location

6336 99th St
Rego Park, NY 11374-1979

Fax (718) 770-7676

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP140191 (NY)

Mental Health Counselor: Definition to come...

16 other providers at this address

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About NPI 1104780378

Autumn Rain Randall, MHC-LP's National Provider Identifier is 1104780378, issued on Dec 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rego Park, NY. The record was last updated on Dec 12, 2025.