Healthcare Provider Details

I. General information

NPI: 1144278797
Provider Name (Legal Business Name): ERIC STEVEN HESSE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 CRAIG ST
ROME NY
13440-2355
US

IV. Provider business mailing address

1310 CRAIG ST
ROME NY
13440-2355
US

V. Phone/Fax

Practice location:
  • Phone: 315-533-0802
  • Fax:
Mailing address:
  • Phone: 315-533-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000285
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: