Healthcare Provider Details

I. General information

NPI: 1427988914
Provider Name (Legal Business Name): STELLA XANTHOUDAKIS PSYCHOTHERAPY, MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CAFFREY AVE
BETHPAGE NY
11714-1405
US

IV. Provider business mailing address

33 CAFFREY AVE
BETHPAGE NY
11714-1405
US

V. Phone/Fax

Practice location:
  • Phone: 516-477-9247
  • Fax:
Mailing address:
  • Phone: 516-477-9247
  • Fax:

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: STELLA XANTHOUDAKIS
Title or Position: OWNER
Credential: LMHC-D
Phone: 516-477-9247