Provider Demographics
NPI:1447953468
Name:GUIDED ELEMENT MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:GUIDED ELEMENT MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:347-855-6900
Mailing Address - Street 1:91 ANN ST APT B
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-1454
Mailing Address - Country:US
Mailing Address - Phone:347-855-6900
Mailing Address - Fax:
Practice Address - Street 1:477 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5802
Practice Address - Country:US
Practice Address - Phone:347-855-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty