Healthcare Provider Details

I. General information

NPI: 1639739923
Provider Name (Legal Business Name): CARELIZ MARRERO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAVOY MENTAL HEALTH COUNSELING, PLLC 466 E MAIN STREET
MIDDLETOWN NY
10940-2516
US

IV. Provider business mailing address

BAVOY MENTAL HEALTH COUNSELING, PLLC 466 E MAIN STREET
MIDDLETOWN NY
10940-2516
US

V. Phone/Fax

Practice location:
  • Phone: 845-843-6400
  • Fax: 845-421-6804
Mailing address:
  • Phone: 845-843-6400
  • Fax: 845-421-6804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number099863
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: