Healthcare Provider Details

I. General information

NPI: 1366909731
Provider Name (Legal Business Name): WENDY B PEGAN LMHC DBA ARTEMIS MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 TRANSIT RD
EAST AMHERST NY
14051-1180
US

IV. Provider business mailing address

7345 TRANSIT RD
EAST AMHERST NY
14051-1180
US

V. Phone/Fax

Practice location:
  • Phone: 716-446-9226
  • Fax: 716-688-0405
Mailing address:
  • Phone: 716-446-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. WENDY B. PEGAN
Title or Position: OWNER
Credential: LMHC
Phone: 716-446-9226