Healthcare Provider Details

I. General information

NPI: 1194533018
Provider Name (Legal Business Name): A PATH FOR YOU MENTAL HEALTH COUNSELING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WALT WHITMAN RD STE 301
HUNTINGTN STA NY
11746-3642
US

IV. Provider business mailing address

57 SOUTHDOWN RD
HUNTINGTON NY
11743-2551
US

V. Phone/Fax

Practice location:
  • Phone: 631-803-8808
  • Fax: 631-759-8977
Mailing address:
  • Phone: 631-803-8808
  • Fax: 631-759-8977

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: DAVID B SCHULMAN
Title or Position: PRESIDENT
Credential: LMHC
Phone: 631-803-8808