Healthcare Provider Details

I. General information

NPI: 1730019605
Provider Name (Legal Business Name): VIRE MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 JEFFERSON AVE
ENDICOTT NY
13760-5244
US

IV. Provider business mailing address

217 JEFFERSON AVE
ENDICOTT NY
13760-5244
US

V. Phone/Fax

Practice location:
  • Phone: 607-476-6181
  • Fax:
Mailing address:
  • Phone: 607-476-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CINDY TESCH
Title or Position: LMHC
Credential: LMHC
Phone: 607-476-6181