Provider Demographics
NPI:1144184110
Name:ARVELAEZ-STAGI, JESMILE (MHC-LP)
Entity type:Individual
Prefix:
First Name:JESMILE
Middle Name:
Last Name:ARVELAEZ-STAGI
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 1:9840 64TH AVE APT 8E
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2515
Mailing Address - Country:US
Mailing Address - Phone:718-459-2558
Mailing Address - Fax:
Practice Address - Street 1:6336 99TH ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1979
Practice Address - Country:US
Practice Address - Phone:718-459-2558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP134893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health