Healthcare Provider Details

I. General information

NPI: 1356290837
Provider Name (Legal Business Name): HUMMING GIRLS WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 LAGUNA RD
CARMEL NY
10512-5665
US

IV. Provider business mailing address

19 LAGUNA RD
CARMEL NY
10512-5665
US

V. Phone/Fax

Practice location:
  • Phone: 914-382-5686
  • Fax:
Mailing address:
  • Phone: 914-382-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH M RODRIGUEZ
Title or Position: OWNER/DIRECTOR
Credential: LMHC-D
Phone: 914-552-5543