Healthcare Provider Details

I. General information

NPI: 1508714130
Provider Name (Legal Business Name): APRICITY PATH MENTAL HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 198TH ST
FRESH MEADOWS NY
11366-1819
US

IV. Provider business mailing address

350 NORTHERN BLVD STE 324-1384
ALBANY NY
12204-1000
US

V. Phone/Fax

Practice location:
  • Phone: 631-623-0174
  • Fax:
Mailing address:
  • Phone: 631-623-0174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AYANNA S PETTAWAY
Title or Position: OWNER
Credential: LMHC, NCC
Phone: 631-623-0174