Healthcare Provider Details

I. General information

NPI: 1851010243
Provider Name (Legal Business Name): WIOLETTA M KAMRAT-PETERS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NORTHERN BLVD STE 324-1520
ALBANY NY
12204-1000
US

IV. Provider business mailing address

350 NORTHERN BLVD STE 324-1520
ALBANY NY
12204-1000
US

V. Phone/Fax

Practice location:
  • Phone: 347-980-4554
  • Fax:
Mailing address:
  • Phone: 347-980-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number016767
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: