Healthcare Provider Details

I. General information

NPI: 1164345096
Provider Name (Legal Business Name): SUCCOR PSYCHOTHERAPY LMHC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NORTHERN BLVD STE 324-1303
ALBANY NY
12204-1000
US

IV. Provider business mailing address

350 NORTHERN BLVD STE 324-1303
ALBANY NY
12204-1000
US

V. Phone/Fax

Practice location:
  • Phone: 718-404-9853
  • Fax:
Mailing address:
  • Phone: 718-404-9853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VENISHKA WILLIAMS
Title or Position: OWNER/FOUNDER
Credential: LMHC-D, LPC
Phone: 646-226-2029