Individual provider · Type 1 NPI

Tania Liseth Ulloa

Mental Health Counselor · Forest Hills, NY

NPI number 1629640347 Active

Practice location

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Call (646) 656-0164 Map

Fax (718) 520-7612

Mailing address

8 Dawson Pl
Huntington Station, NY 11746-1002

Other practice locations

  • 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 · (631) 385-7780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629640347

Tania Liseth Ulloa's National Provider Identifier is 1629640347, issued on Jul 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Hills, NY. The record was last updated on Nov 5, 2025.