Healthcare Provider Details

I. General information

NPI: 1700633005
Provider Name (Legal Business Name): NANCY ANN SUDA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 EGGERT RD
AMHERST NY
14226-2063
US

IV. Provider business mailing address

2122 EGGERT RD
AMHERST NY
14226-2063
US

V. Phone/Fax

Practice location:
  • Phone: 716-204-5311
  • Fax:
Mailing address:
  • Phone: 716-204-5311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017689
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: