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NPI Code Detail

MEDICARE: MENTAL HEALTH COUNSELING OF STATEN ISLAND PC

MEDICARE: MENTAL HEALTH COUNSELING OF STATEN ISLAND PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1417798356
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH COUNSELING OF STATEN ISLAND PC
Provider Business Mailing Address
First Line : 2460 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-6612
Country : US
Telephone Number : 917-781-0041
Fax Number :
Provider Business Practice Location Address
First Line : 2460 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-6612
Country : US
Telephone Number : 917-781-0041
Fax Number :
Authorized Official
Title or Position : LMHC
Name : LUCIA FALCONE
Credential :
Telephone Number : 347-733-9964
Provider Enumeration Date : 06/04/2024
Last Update Date : 04/08/2026

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Directions to “MENTAL HEALTH COUNSELING OF STATEN ISLAND PC ” Practice Location

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