Healthcare Provider Details

I. General information

NPI: 1376457895
Provider Name (Legal Business Name): GAIA MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 NEW KARNER RD STE 2
ALBANY NY
12205-3874
US

IV. Provider business mailing address

800 ROUTE 146 STE 385
CLIFTON PARK NY
12065-3950
US

V. Phone/Fax

Practice location:
  • Phone: 518-400-5750
  • Fax:
Mailing address:
  • Phone: 518-727-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. AGNES LAUFER
Title or Position: OWNER
Credential: LMHC-D
Phone: 518-727-4325