Healthcare Provider Details

I. General information

NPI: 1821365800
Provider Name (Legal Business Name): CHRISTINA CIPOLLARO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2011
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WOODS RD
VALHALLA NY
10595-1529
US

IV. Provider business mailing address

10 WOODS RD
VALHALLA NY
10595-1529
US

V. Phone/Fax

Practice location:
  • Phone: 914-231-1974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number006022
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number004874-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: