Individual provider · Type 1 NPI

Thomas Anthony Susinno-Eadicicco, LMHC

Mental Health Counselor · Staten Island, NY

NPI number 1306727474 Active

Practice location

200 Evergreen Ave
Staten Island, NY 10305-2322

Call (718) 666-5927 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X01557401 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1306727474

Thomas Anthony Susinno-Eadicicco, LMHC's National Provider Identifier is 1306727474, issued on Sep 8, 2025. 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 Sep 8, 2025.