Provider Demographics
NPI:1477164952
Name:MUNOZ, SOFIA (LMHC, MA, BA)
Entity type:Individual
Prefix:MRS
First Name:SOFIA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LMHC, MA, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2017
Mailing Address - Country:US
Mailing Address - Phone:516-524-0005
Mailing Address - Fax:
Practice Address - Street 1:37 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2017
Practice Address - Country:US
Practice Address - Phone:516-524-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty