=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407775349
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MRH COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2026
-----------------------------------------------------
Last Update Date | 07/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3965 STATE HIGHWAY 205
-----------------------------------------------------
City | HARTWICK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13348-2410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 984-984-2172
-----------------------------------------------------
Fax | 984-220-9265
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3965 STATE HIGHWAY 205
-----------------------------------------------------
City | HARTWICK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13348-2410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 984-984-2172
-----------------------------------------------------
Fax | 984-220-9265
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MARY ROBYN HALL
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 631-384-1713
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------