Healthcare Provider Details

I. General information

NPI: 1487564860
Provider Name (Legal Business Name): THE WELL MENTAL HEALTH COUNSELING PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 LOCUST RD
PLEASANTVILLE NY
10570-3721
US

IV. Provider business mailing address

181 CHATTERTON PKWY
WHITE PLAINS NY
10606-2237
US

V. Phone/Fax

Practice location:
  • Phone: 914-290-1561
  • Fax:
Mailing address:
  • Phone: 914-290-1561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. CRISTINA NICOLE PORTANOVA
Title or Position: FOUNDER
Credential: LMHC
Phone: 914-290-1561