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NPI Code Detail

MEDICARE: VIRE MENTAL HEALTH COUNSELING PLLC

MEDICARE: VIRE MENTAL HEALTH COUNSELING PLLC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1730019605
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRE MENTAL HEALTH COUNSELING PLLC
Provider Business Mailing Address
First Line : 217 JEFFERSON AVE
Second Line :
City : ENDICOTT
State : NY
Zip : 13760-5244
Country : US
Telephone Number : 607-476-6181
Fax Number :
Provider Business Practice Location Address
First Line : 217 JEFFERSON AVE
Second Line :
City : ENDICOTT
State : NY
Zip : 13760-5244
Country : US
Telephone Number : 607-476-6181
Fax Number :
Authorized Official
Title or Position : LMHC
Name : CINDY TESCH
Credential : LMHC
Telephone Number : 607-476-6181
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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