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Organization
LIVINGSTON COUNTY
Active
Organization
LIVINGSTON COUNTY
Active
Parent organization
LIVINGSTON COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVINGSTON COUNTY
Authorized official
JILL BURLEY (DEPUTY DIRECTOR)
(585) 243-7270
Entity
Organization
Contact information
Practice address
4600 MILLENNIUM DR, GENESEO, NY 14454-1197
(585) 243-7250
(585) 243-7264
Mailing address
4600 MILLENNIUM DR, GENESEO, NY 14454-1197
(585) 243-7250
(585) 243-7264
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357960
—
NY
01
—
014006252
BCBS PROVIDER NUMBER
NY
05
—
01662211
—
NY
01
—
103061EU
PREF CARE PROVIDER NUMBER
NY
01
—
LM
BCBS INDEM PROV NUMBER
NY
Enumeration date
10/02/2006
Last updated
08/26/2026
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