Healthcare Provider Details

I. General information

NPI: 1740179266
Provider Name (Legal Business Name): C&T MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 SOMERSET DR
COMMACK NY
11725-1636
US

IV. Provider business mailing address

43 SOMERSET DR
COMMACK NY
11725-1636
US

V. Phone/Fax

Practice location:
  • Phone: 631-403-8055
  • Fax:
Mailing address:
  • Phone: 631-403-8055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINA JAMISON
Title or Position: MANAGER/LMHC
Credential:
Phone: 631-512-2324