Healthcare Provider Details

I. General information

NPI: 1558067090
Provider Name (Legal Business Name): ATALIA LYTE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAWK DR
NEW PALTZ NY
12561-2447
US

IV. Provider business mailing address

4 EMERSON TER
HIGHLAND NY
12528-1359
US

V. Phone/Fax

Practice location:
  • Phone: 845-257-2920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009462
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: