Individual provider · Type 1 NPI
Renata Fayzullina
Mental Health Counselor · New York, NY
NPI number
1144098823
Active
Practice location
1199 Park Ave
New York, NY 10128-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1144098823
Renata Fayzullina's National Provider Identifier is 1144098823, issued on Dec 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Aug 19, 2025.