Individual provider · Type 1 NPI

Matthew Steven Ominelli, LMHC

Mental Health Counselor · Staten Island, NY

NPI number 1174982292 Active

Practice location

777 Seaview Ave, Building #1
Staten Island, NY 10305-3409

Call (718) 667-2385 Map

Fax (718) 668-8107

Mailing address

25 4th St
Staten Island, NY 10306-2231

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X007073 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1174982292

Matthew Steven Ominelli, LMHC's National Provider Identifier is 1174982292, issued on Feb 17, 2016. 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 Feb 17, 2016.