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

Real Mind Mental Health Counseling PC

Organization Mental Health Counselor · NPI 1790635647

Real Mind Mental Health Counseling PC is a Mental Health Counselor in Staten Island, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

96 Simonson Pl
Staten Island, NY 10302-1816
Phone: (347) 681-0419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790635647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glad Uko-Ima — President/Owner · (347) 681-0419
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address96 Simonson Pl, Staten Island, NY 10302-1816

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