Individual provider · Type 1 NPI

Zomely Grullon, LCAT-LP, MA

Mental Health Counselor · Glendale, NY

NPI number 1669327581 Active

Practice location

6704 Myrtle Ave Ste 2080
Glendale, NY 11385-7033

Call (347) 871-5931 Map

Mailing address

62 Bainbridge St Apt 2A
Brooklyn, NY 11233-1742

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP139094 (NY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1669327581

Zomely Grullon, LCAT-LP, MA's National Provider Identifier is 1669327581, issued on Mar 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, NY. The record was last updated on Mar 12, 2026.