Healthcare Provider Details

I. General information

NPI: 1669145488
Provider Name (Legal Business Name): DEVIN BRIELLE RAPENA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEVIN DREITLEIN LMHC

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 EDWARDS LN E
BLUE POINT NY
11715-2218
US

IV. Provider business mailing address

44 EDWARDS LN E
BLUE POINT NY
11715-2218
US

V. Phone/Fax

Practice location:
  • Phone: 631-202-0962
  • Fax:
Mailing address:
  • Phone: 631-202-0962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011177
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: