Healthcare Provider Details

I. General information

NPI: 1609550615
Provider Name (Legal Business Name): ELLA TSCHURWALD MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 CHURCH ST
SARATOGA SPRINGS NY
12866-1010
US

IV. Provider business mailing address

210 CHURCH ST
SARATOGA SPRINGS NY
12866-1010
US

V. Phone/Fax

Practice location:
  • Phone: 518-580-0520
  • Fax: 518-580-9975
Mailing address:
  • Phone: 518-580-0520
  • Fax: 518-580-9975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP144121
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: