Healthcare Provider Details

I. General information

NPI: 1174377238
Provider Name (Legal Business Name): ALANA GELLER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 S FITZHUGH ST
ROCHESTER NY
14608-2205
US

IV. Provider business mailing address

97 BLACKWELL LN
HENRIETTA NY
14467-9752
US

V. Phone/Fax

Practice location:
  • Phone: 585-325-6101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number014518-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: