Healthcare Provider Details

I. General information

NPI: 1124934484
Provider Name (Legal Business Name): SCHELA BRUN MENTAL HEALTH COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 W 22ND ST
HUNTINGTON NY
11743-6347
US

IV. Provider business mailing address

193 W 22ND ST
HUNTINGTON NY
11743-6347
US

V. Phone/Fax

Practice location:
  • Phone: 631-357-2033
  • Fax:
Mailing address:
  • Phone: 631-357-2033
  • 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: SCHELA BRUN
Title or Position: OWNER
Credential:
Phone: 631-357-2033