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

MS. Tania Liseth Ulloa

Individual provider Mental Health Counselor · NPI 1629640347

MS. Tania Liseth Ulloa is a Mental Health Counselor in Forest Hills, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone: (646) 656-0164
Fax: (718) 520-7612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 — (631) 385-7780

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X (NY)

Record details

NPI number1629640347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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