Individual
MARY PRISCA ELEANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
109137-01
NY
101YM0800X
Mental Health Counselor
102227
NY
101YM0800X
Mental Health Counselor
22288
OK
104100000X
Social Worker
109137
NY
1041C0700X
Clinical Social Worker
102227
NY
1041C0700X
Clinical Social Worker
Primary
22288
OK
Other
Enumeration date
09/03/2020
Last updated
06/17/2026
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