Healthcare Provider Details

I. General information

NPI: 1699682153
Provider Name (Legal Business Name): STACEY EVE SARTENA MHC-LP, MSED, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 EASTON STATION RD
GREENWICH NY
12834-5947
US

IV. Provider business mailing address

435 HAWLEY DR
CANANDAIGUA NY
14424-2381
US

V. Phone/Fax

Practice location:
  • Phone: 212-234-2213
  • Fax:
Mailing address:
  • Phone: 516-236-8778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP140950
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: