MEDICARE: SIAN CAISEY 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
1	101YM0800X	Mental Health Counselor	005958	NY

General Provider Information

NPI Number	:	1467223156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIAN CAISEY LMHC

Provider Business Mailing Address
First Line	:	5312 AVENUE O FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3926
Country	:	US
Telephone Number	:	646-512-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	5312 AVENUE O FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3926
Country	:	US
Telephone Number	:	646-512-4148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/11/2024

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Directions to “ SIAN CAISEY LMHC” Practice Location

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