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NPI Code Detail

MEDICARE: KEITH MCFALL LMHC

MEDICARE:   KEITH  MCFALL  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor005200NY

General Provider Information

NPI Number : 1255601266
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH MCFALL LMHC
Provider Business Mailing Address
First Line : 37 WOODLAND ST
Second Line :
City : EAST ISLIP
State : NY
Zip : 11730-1918
Country : US
Telephone Number : 516-660-0976
Fax Number :
Provider Business Practice Location Address
First Line : 37 WOODLAND ST
Second Line :
City : EAST ISLIP
State : NY
Zip : 11730-1918
Country : US
Telephone Number : 516-660-0976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 02/22/2025

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Directions to “ KEITH MCFALL LMHC” Practice Location

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