Provider Demographics
NPI:1124902093
Name:REYES-PALESTINO, PAOLA (MHC-LP)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:REYES-PALESTINO
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 W 38TH ST FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-2938
Mailing Address - Country:US
Mailing Address - Phone:212-367-1077
Mailing Address - Fax:
Practice Address - Street 1:307 W 38TH ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-2938
Practice Address - Country:US
Practice Address - Phone:212-367-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor