Healthcare Provider Details

I. General information

NPI: 1437027265
Provider Name (Legal Business Name): CEARAH TREMBLAY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 OLEAN PORTVILLE RD
OLEAN NY
14760-9416
US

IV. Provider business mailing address

1355 OLEAN PORTVILLE RD
OLEAN NY
14760-9416
US

V. Phone/Fax

Practice location:
  • Phone: 716-373-0021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number016757-01
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier16-1039939
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 2
Identifier16-1039939
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerLMHC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: