Individual provider · Type 1 NPI

Evelina Wisniewska, LMHC-D

Mental Health Counselor · Staten Island, NY

NPI number 1114641206 Active

Practice location

669 Castleton Ave
Staten Island, NY 10301-2028

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X014100 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1114641206

Evelina Wisniewska, LMHC-D's National Provider Identifier is 1114641206, issued on Oct 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Apr 14, 2026.