Healthcare Provider Details

I. General information

NPI: 1306310941
Provider Name (Legal Business Name): NEW PAGE MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 E JERICHO TPKE
HUNTINGTON STATION NY
11746-7325
US

IV. Provider business mailing address

545 E JERICHO TPKE
HUNTINGTON STATION NY
11746-7325
US

V. Phone/Fax

Practice location:
  • Phone: 516-548-5898
  • Fax: 516-548-5899
Mailing address:
  • Phone: 516-548-5898
  • Fax: 516-548-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. VALISA SINGH
Title or Position: OWNER
Credential: LMHC, CASAC, CRC
Phone: 516-548-5898