Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eidolon Therapeutic Counseling LLC

Organization Adult Mental Health Clinic/Center · NPI 1295422459

Eidolon Therapeutic Counseling LLC is an Adult Mental Health Clinic/Center in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 Park Ave
New York, NY 10016-4338
Phone: (646) 460-2543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1295422459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredbrick Bush — Owner · (646) 460-2543
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address10 Park Ave, New York, NY 10016-4338

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