Individual provider · Type 1 NPI

Lauren Pezzo, MA, LMHC, CASAC

Mental Health Counselor · Forest Hills, NY

NPI number 1770848889 Active

Practice location

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

Call (917) 584-0365 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCASAC-21364 (NY)
Mental Health Counselor Primary 101YM0800X007586 (NY)

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About NPI 1770848889

Lauren Pezzo, MA, LMHC, CASAC's National Provider Identifier is 1770848889, issued on Jul 5, 2012. 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 Sep 10, 2025.