Active NPIIndividual provider

Eboni N Faulkner

Counselor, Mental Health in Port Chester, New York

NPI Number1124653449
Practice location
19 Olivia St, Port Chester, NY 10573-4877
Fax
—
Last updated
August 25, 2024

Eboni Nicole Faulkner is a Counselor, Mental Health based in Port Chester, NY. Eboni Nicole Faulkner practices in Port Chester, NY. The NPI Number for Eboni Nicole Faulkner is 1124653449 and holds a License No. 014494 (NY). The current practice location address for Eboni Nicole Faulkner is 19 Olivia St, Port Chester, NY 10573-4877 and can be reached out via phone at 914-479-9501.

Provider Profile Details

NPI Number
1124653449
Provider Name
Eboni Nicole Faulkner
Provider Entity Type
Individual
Gender
Female
Address
19 Olivia St, Port Chester, NY 10573-4877
Phone Number
914-479-9501
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2020
Last Update Date
August 25, 2024
Certification Date
August 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Olivia St
Port Chester, NY 10573-4877
Zip
10573-4877
Phone Number
914-479-9501
Port Chester, NY 10573Get directions →

Provider Business Mailing Address Details

Address
7087 Littlebrook Way
Douglasville, GA 30134-7066
City
Douglasville
State
GA
Zip
30134-7066
Phone Number
914-506-5000

License Information

License Number (1)
014494
License State (1)
NY
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eboni N Faulkner?

The NPI number of Eboni N Faulkner is 1124653449. It was assigned on March 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Eboni N Faulkner?

Eboni N Faulkner is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 014494.

Where does Eboni N Faulkner practice?

The practice location is 19 Olivia St, Port Chester, NY 10573-4877. The office can be reached at 914-479-9501 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124653449 directly on the NPPES registry website.

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