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SOUTHTOWNS MENTAL HEALTH COUNSELING PC NPI 1306411244


NPI Information

NPI: 1306411244
Provider Name: SOUTHTOWNS MENTAL HEALTH COUNSELING PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
42 LAKE ST STE D
HAMBURG, NY
ZIP 14075
Phone: (716) 410-5390
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SOUTHTOWNS MENTAL HEALTH COUNSELING PC is a mental health counselor in Hamburg, NY. SOUTHTOWNS MENTAL HEALTH COUNSELING PC NPI is 1306411244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42 LAKE ST STE D
HAMBURG, NY
ZIP 14075-937
Phone: (716) 410-5390
Fax: (716) 422-9011

The provider's authorized official is Jason Shear .
The authorized official title is Owner and has the following contact phone number (716) 410-5390.

The enumeration date for this NPI number is 5/24/2021 and was last updated on 8/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2111N00000XChiropractorNo
3163W00000XRegistered NurseNo
4163WP0808XRegistered NursePsychiatric/Mental HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.