EXPERIENTIAL MENTAL HEALTH COUNSELING LLC NPI 1770061509

NPI Information

NPI: 1770061509
Provider Name: EXPERIENTIAL MENTAL HEALTH COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
120 DEFREEST DR STE 220
TROY, NY
ZIP 12180
Phone: (518) 945-8828
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EXPERIENTIAL MENTAL HEALTH COUNSELING LLC is a mental health counselor in Troy, NY. EXPERIENTIAL MENTAL HEALTH COUNSELING LLC NPI is 1770061509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 DEFREEST DR STE 220
TROY, NY
ZIP 12180-608
Phone: (518) 945-8828

The provider's authorized official is Gregory Reid .
The authorized official title is Director and has the following contact phone number (518) 945-8828.

The enumeration date for this NPI number is 8/2/2018 and was last updated on 8/2/2018.

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	008111	NEW YORK	Yes

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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