Healthcare Provider Details

I. General information

NPI: 1043897192
Provider Name (Legal Business Name): CHRISTINE ACKERLY LICENSED MENTAL HEALTH COUNSELOR PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 MAIN ST # 134
BEACON NY
12508-2732
US

IV. Provider business mailing address

242 MAIN ST # 134
BEACON NY
12508-2732
US

V. Phone/Fax

Practice location:
  • Phone: 845-231-2155
  • Fax:
Mailing address:
  • Phone: 845-231-2155
  • Fax: 845-393-9089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTINE MARIE ACKERLY
Title or Position: OWNER
Credential: LMHC
Phone: 845-231-2155