Healthcare Provider Details

I. General information

NPI: 1902342637
Provider Name (Legal Business Name): STELLA HOVEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 STATE ROUTE 417 W
WELLSVILLE NY
14895-9332
US

IV. Provider business mailing address

4220 STATE ROUTE 417 W
WELLSVILLE NY
14895-9332
US

V. Phone/Fax

Practice location:
  • Phone: 585-593-6300
  • Fax: 585-593-7071
Mailing address:
  • Phone: 585-593-6300
  • Fax: 585-593-7071

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:
Title or Position:
Credential:
Phone: