Provider Demographics
NPI:1104705995
Name:SUNFLOWER PSYCHOTHERAPY NYC, LCSW, PLLC
Entity type:Organization
Organization Name:SUNFLOWER PSYCHOTHERAPY NYC, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARK MINEO, MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MINEO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:929-344-1920
Mailing Address - Street 1:119 PONDFIELD RD UNIT 456
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-7623
Mailing Address - Country:US
Mailing Address - Phone:845-893-4310
Mailing Address - Fax:
Practice Address - Street 1:333 E 34TH ST OFC 1K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5230
Practice Address - Country:US
Practice Address - Phone:929-344-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty