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General NPI Number Information
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NPI Number | 1326552167
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Entity Type | Organization
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Legal Business Name | LAURA BLIGH LMHC
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 106 MAIN ST
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City | GENESEO
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State | NY
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Zip | 14454-1236
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Country | US
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Telephone | 585-447-1273
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Fax | 585-243-9630
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Provider Business Mailing Address
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Address Line | 7187 MEADOWVIEW DR
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City | LIMA
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State | NY
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Zip | 14485-9411
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Country | US
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Telephone | 585-447-1273
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Fax | 585-243-9630
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | LAURA BLIGH
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Credential | LMHC
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Telephone | 585-447-1273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 004844
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License Number State | NY
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