Healthcare Provider Details

I. General information

NPI: 1407775349
Provider Name (Legal Business Name): MRH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3965 STATE HIGHWAY 205
HARTWICK NY
13348-2410
US

IV. Provider business mailing address

3965 STATE HIGHWAY 205
HARTWICK NY
13348-2410
US

V. Phone/Fax

Practice location:
  • Phone: 984-984-2172
  • Fax: 984-220-9265
Mailing address:
  • Phone: 984-984-2172
  • Fax: 984-220-9265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MARY ROBYN HALL
Title or Position: OWNER
Credential: LCSW
Phone: 631-384-1713