Healthcare Provider Details

I. General information

NPI: 1609446137
Provider Name (Legal Business Name): TRICIA DENNIS LMHC NCC COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8177 JERICHO RD
WEEDSPORT NY
13166-9745
US

IV. Provider business mailing address

PO BOX 340
WEEDSPORT NY
13166-0340
US

V. Phone/Fax

Practice location:
  • Phone: 716-704-4865
  • Fax:
Mailing address:
  • Phone: 716-704-4865
  • 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: TRICIA DENNIS
Title or Position: OWNER
Credential: LMHC
Phone: 716-704-4865