Individual
MRS. ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
123 PIKE ST, PORT JERVIS, NY 12771-1824
(845) 856-7576
(845) 856-8231
Mailing address
123 PIKE ST, PORT JERVIS, NY 12771-1824
(845) 856-7576
(845) 856-8231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000429
NEW YORK STATE OFFICE OF PROFESSIONS
NY
01
—
12588
NYS OASAS
NY
Enumeration date
08/19/2016
Last updated
08/19/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us