Provider Demographics
NPI:1952979684
Name:SANCHANA KRISHNAN, UNKNOWN (MHC-LP)
Entity type:Individual
Prefix:MS
First Name:UNKNOWN
Middle Name:
Last Name:SANCHANA KRISHNAN
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:MS
Other - First Name:SANCHANA
Other - Middle Name:
Other - Last Name:KRISHNAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHC-LP
Mailing Address - Street 1:148 MADISON AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6700
Mailing Address - Country:US
Mailing Address - Phone:917-216-7787
Mailing Address - Fax:
Practice Address - Street 1:148 MADISON AVE FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6700
Practice Address - Country:US
Practice Address - Phone:917-216-7787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health