Individual provider · Type 1 NPI

Simone Nichole Perry, EDM

Mental Health Counselor · Woodside, NY

NPI number 1518604255 Active

Practice location

6714 41st Ave
Woodside, NY 11377-8128

Mailing address

10532 Flatlands 1st St Fl 1
Brooklyn, NY 11236-3008

Specialties and licenses

TaxonomyCodeLicense
Poetry Therapist 102X00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1518604255

Simone Nichole Perry, EDM's National Provider Identifier is 1518604255, issued on May 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodside, NY. The record was last updated on May 15, 2022.