NPI Code Details Logo

NPI 1366238727

NPI 1366238727 : LION'S TOOTH COUNSELING, LCSW, PLLC : WEST SENECA, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366238727
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LION'S TOOTH COUNSELING, LCSW, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/15/2025
-----------------------------------------------------
    Last Update Date     |    07/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1293 UNION RD 
-----------------------------------------------------
    City                 |    WEST SENECA
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14224-2941
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    716-316-3730
-----------------------------------------------------
    Fax                  |    716-503-4286
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    211 COVINGTON DR 
-----------------------------------------------------
    City                 |    BUFFALO
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14220-2811
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CO-OWNER
-----------------------------------------------------
    Name                 |     CAITLIN  DONISI 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    716-982-1205
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QM0855X
-----------------------------------------------------
    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.