Individual provider · Type 1 NPI

Idaresit James Udofia, LMFT

Marriage & Family Therapist · Roosevelt, NY

NPI number 1740100775 Active

Practice location

125 E Greenwich Ave
Roosevelt, NY 11575-1221

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X002811 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

About NPI 1740100775

Idaresit James Udofia, LMFT's National Provider Identifier is 1740100775, issued on Jul 20, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Roosevelt, NY. The record was last updated on Jul 20, 2026.