Individual provider · Type 1 NPI

Kelly Gleeson

Mental Health Counselor · Hicksville, NY

NPI number 1134052491 Active

Practice location

120 Bethpage Rd Ste 101
Hicksville, NY 11801-1515

Mailing address

1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134052491

Kelly Gleeson's National Provider Identifier is 1134052491, issued on Jun 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hicksville, NY. The record was last updated on Jun 5, 2026.