Healthcare Provider Details

I. General information

NPI: 1386552743
Provider Name (Legal Business Name): WINGS OF HOPE MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

69 CALLAHANS RD
WURTSBORO NY
12790-5207
US

IV. Provider business mailing address

69 CALLAHANS RD
WURTSBORO NY
12790-5207
US

V. Phone/Fax

Practice location:
  • Phone: 845-332-8807
  • Fax:
Mailing address:
  • Phone: 845-332-8807
  • 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: ELENI DARIOTIS
Title or Position: CEO/ AUTHORIZED OFFICIAL
Credential:
Phone: 845-332-8807