Individual provider · Type 1 NPI

Ayanna Pettaway, LMHC

Mental Health Counselor · New York, NY

NPI number 1790450757 Active

Practice location

220 5th Ave Fl 11
New York, NY 10001-8017

Call (631) 623-0174 Map

Mailing address

350 Northern Blvd Ste 324-1384
Albany, NY 12204-1000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X008303 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1790450757

Ayanna Pettaway, LMHC's National Provider Identifier is 1790450757, issued on Aug 11, 2021. 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 Jul 14, 2026.