Healthcare Provider Details

I. General information

NPI: 1861356545
Provider Name (Legal Business Name): SOMMERVILLE WELLNESS MENTAL HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CHANDLER ST
BUFFALO NY
14207-2405
US

IV. Provider business mailing address

540 LINDEN AVE
BUFFALO NY
14216-2730
US

V. Phone/Fax

Practice location:
  • Phone: 716-908-4014
  • Fax:
Mailing address:
  • Phone: 716-908-4014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELISSA SOMMERVILLE
Title or Position: CO-OWNER/THERAPIST
Credential: LMHC-D
Phone: 716-261-8432