Provider Demographics
NPI:1871131110
Name:LESTERS MENTAL HEALTH COUNSELING PC
Entity type:Organization
Organization Name:LESTERS MENTAL HEALTH COUNSELING PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-836-7187
Mailing Address - Street 1:83 WOODBINE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-4944
Mailing Address - Country:US
Mailing Address - Phone:917-836-7187
Mailing Address - Fax:
Practice Address - Street 1:83 WOODBINE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-4944
Practice Address - Country:US
Practice Address - Phone:917-836-7187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty