Individual
MRS. AMY KAROL BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC, CASAC
Contact information
Practice address
74 FIRE ISLAND AVE, 2ND FLOOR, BABYLON, NY 11702-3531
(516) 712-8620
Mailing address
25 OLD COUNTRY RD, DEER PARK, NY 11729-1824
(516) 712-8620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4088
NY
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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