INTEGRATED COUNSELING PLLC NPI 1417594235

NPI Information

  • NPI: 1417594235
  • Provider Name: INTEGRATED COUNSELING, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1739 N OCEAN AVE STE A
    MEDFORD, NY
    ZIP 11763
  • Phone: (631) 747-2106

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NPI Details

INTEGRATED COUNSELING, PLLC is a mental health counselor in Medford, NY. INTEGRATED COUNSELING, PLLC NPI is 1417594235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1739 N OCEAN AVE STE A
MEDFORD, NY
ZIP 11763-683
Phone: (631) 747-2106

The provider's authorized official is Sean Woll .
The authorized official title is Owner and has the following contact phone number (631) 747-2106.

The enumeration date for this NPI number is 12/1/2019 and was last updated on 7/20/2023.

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
1101YM0800XCounselorMental 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: 3/30/2025

NPI Synchronization or Removal

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