Healthcare Provider Details

I. General information

NPI: 1508588229
Provider Name (Legal Business Name): HAPPY UNICORN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 SEELEY BULL ST
MONROE NY
10950-4185
US

IV. Provider business mailing address

28 SEELEY BULL ST
MONROE NY
10950-4185
US

V. Phone/Fax

Practice location:
  • Phone: 206-919-7004
  • Fax:
Mailing address:
  • Phone: 203-212-9864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ANN MANKOWSKI
Title or Position: PSYCHOTHERAPIST/OWNER
Credential: LPCC, LADC
Phone: 203-212-9864