Healthcare Provider Details
I. General information
NPI: 1851253231
Provider Name (Legal Business Name): VIOLET LIGHT MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
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
- Phone: 347-980-4554
- Fax:
- Phone: 347-980-4554
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
WIOLETTA
M
KAMRAT-PETERS
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 347-980-4554