Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lifespan Wellness Marriage & Family Therapy PLLC

Organization Marriage & Family Therapist · NPI 1982185161

Lifespan Wellness Marriage & Family Therapy PLLC is a Marriage & Family Therapist in Bayside, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21333 39th Ave Ste 235
Bayside, NY 11361-2174
Phone: (917) 913-6441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2391 Bell Blvd Ste 202, Flushing, NY 11360-2019 — (917) 913-6441

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 001372 (NY)

Record details

NPI number1982185161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Constantinou — Director · (917) 913-6441
NPI enumeratedAugust 24, 2018
Last updated in NPPESNovember 30, 2018
Mailing address2608 Bayside Ln, Flushing, NY 11358-1054

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