| Doctor Name: | LYUDMILA PROKHIY |
| NPI Number: | 1205046190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, LMFT |
| License Number: | 000279 |
| Business Practice Address: | 1234 W Broadway Suite 2 Hewlett, NY - 115571929 |
| Business Phone Number: | 5163760865 |
| Business Fax Number: | |
| Mailing Address: | 74 Gibson Blvd, Apt. 2-b VALLEY STREAM |
| State: | NY |
| Postal Code: | 115812041 |
| Phone Number: | 5168128818 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000279 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |