Individual provider · Type 1 NPI

Augustin John Lianzo, LMHC

Mental Health Counselor · New York, NY

NPI number 1629629381 Active

Practice location

115 W 31st St Fl 5
New York, NY 10001-3596

Fax (212) 564-3440

Mailing address

10118 67th Dr Apt 1R
Forest Hills, NY 11375-2784

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP13278 (NY)
Mental Health Counselor Primary 101YM0800X010742 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1629629381

Augustin John Lianzo, LMHC's National Provider Identifier is 1629629381, issued on Sep 24, 2019. 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 Oct 1, 2020.