LAKE SHORE BEHAVIORAL HEALTH INC NPI 1639391204

NPI Information

NPI: 1639391204
Provider Name: LAKE SHORE BEHAVIORAL HEALTH, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
254 FRANKLIN ST
BUFFALO, NY
ZIP 14202
Phone: (716) 842-0440
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LAKE SHORE BEHAVIORAL HEALTH, INC is a mental health counselor in Buffalo, NY. LAKE SHORE BEHAVIORAL HEALTH, INC NPI is 1639391204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

254 FRANKLIN ST
BUFFALO, NY
ZIP 14202-902
Phone: (716) 842-0440
Fax: (716) 842-4069

The provider's authorized official is Howard Hitzel .
The authorized official title is President and has the following contact phone number (716) 842-0440.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

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
1	101YM0800X	Counselor	Mental Health	6783420A	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00671765	MEDICAID	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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