Provider Demographics
NPI:1902790421
Name:HOUSE OF WELLNESS MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:HOUSE OF WELLNESS MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LMHC
Authorized Official - Prefix:
Authorized Official - First Name:TUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:HABIB
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:929-513-7602
Mailing Address - Street 1:PO BOX 50231
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-0231
Mailing Address - Country:US
Mailing Address - Phone:929-513-7602
Mailing Address - Fax:
Practice Address - Street 1:467 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2053
Practice Address - Country:US
Practice Address - Phone:929-513-7602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty