MEDICARE: MOUNTAINSIDE - HUNTINGTON

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
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1326506064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAINSIDE - HUNTINGTON

Provider Business Mailing Address
First Line	:	141 E MAIN ST STE 2
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-2850
Country	:	US
Telephone Number	:	860-362-5232
Fax Number	:	877-861-6507

Provider Business Practice Location Address
First Line	:	141 E MAIN ST STE 2
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-2850
Country	:	US
Telephone Number	:	860-362-5232
Fax Number	:	877-861-6507

Authorized Official
Title or Position	:	SR DIRECTOR, REVENUE CYCLE
Name	:	MICHELLE WILLIAMSON
Credential	:
Telephone Number	:	860-362-5232

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	03/25/2022

Similar Medicare Providers

1285591420 — NICOLE KRISTEN GIAMBRONE MENTAL HEALTH COUNSELING PLLC
Practice Location Address:

141 E MAIN ST STE 3
HUNTINGTON, NY
11743-2850

Practice Phone: 212-547-3968
Practice Fax: 646-677-2009

1902479306 — JULIA PURCARO LMFT, CASAC
Practice Location Address:

141 E MAIN ST STE 2
HUNTINGTON, NY
11743-2850

Practice Phone: 631-760-1889
Practice Fax: 631-760-1889

1205798790 — KRISTIN FERRETII
Practice Location Address:

141 E MAIN ST STE 3
HUNTINGTON, NY
11743-2850

Practice Phone: 631-225-1155
Practice Fax: 646-677-2009

1417153495 — CABELL COUNTY BOARD OF EDUCATION
Practice Location Address:

2850 5TH AVE
HUNTINGTON, WV
25702-1436

Practice Phone: 304-528-5000
Practice Fax:

1528244787 — MS. RHONDA ANN LESTER-PARKER M.S./CCC-A
Practice Location Address:

2850 5TH AVE
HUNTINGTON, WV
25702-1436

Practice Phone: 304-528-5000
Practice Fax: 304-528-5136

1215114582 — MRS. AMY C WILLIAMS MS CCC-S
Practice Location Address:

2850 5TH AVE
HUNTINGTON, WV
25702-1436

Practice Phone: 304-528-5000
Practice Fax: 304-528-5080

Directions to “MOUNTAINSIDE - HUNTINGTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.