Healthcare Provider Details

I. General information

NPI: 1851614630
Provider Name (Legal Business Name): CHRISTINE MARIE ACKERLY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE MARIE GIRARDI

II. Dates (important events)

Enumeration Date: 03/08/2010
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: 845-393-9089
Mailing address:
  • Phone: 845-231-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2218
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number25702
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number002950
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: