Healthcare Provider Details

I. General information

NPI: 1982291290
Provider Name (Legal Business Name): METTLE WORKS BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2020
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 WALL ST STE 1M
KINGSTON NY
12401-3817
US

IV. Provider business mailing address

273 WALL ST STE 1M
KINGSTON NY
12401-3817
US

V. Phone/Fax

Practice location:
  • Phone: 845-481-0481
  • Fax:
Mailing address:
  • Phone: 845-481-0481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MATT MAHER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD, LMHC, LBA, BCBA
Phone: 845-481-0481