Healthcare Provider Details
I. General information
NPI: 1366371759
Provider Name (Legal Business Name): SINNAMON BILACH LCSW EMPOWER YOU HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1502 209TH ST UNIT 2
BAYSIDE NY
11360-1128
US
IV. Provider business mailing address
1502 209TH ST UNIT 2
BAYSIDE NY
11360-1128
US
V. Phone/Fax
- Phone: 732-662-8865
- Fax:
- Phone:
- 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:
SINNAMON
NICOLE
BILACH
Title or Position: OWNER
Credential: LCSW
Phone: 732-662-8865