Organization
CNY MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CARMAN PHD, LMHC (OWNER)
(315) 491-0172
Entity
Organization
Contact information
Practice address
107 FAYETTE ST, MANLIUS, NY 13104-1801
(315) 491-0172
Mailing address
7795 ROLLING RIDGE DR, MANLIUS, NY 13104-9657
(315) 491-0172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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