Individual provider · Type 1 NPI

Isabella Qadira Pettus, MHC-LP

Mental Health Counselor · New York, NY

NPI number 1275480477 Active

Practice location

100 Park Ave Rm 1600
New York, NY 10017-5538

Call (347) 229-6356 Map

Mailing address

233 Jackson St Apt 1A
Brooklyn, NY 11211-5260

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP139276 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1275480477

Isabella Qadira Pettus, MHC-LP's National Provider Identifier is 1275480477, issued on Mar 16, 2026. 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 Mar 16, 2026.