Organization · Type 2 NPI
Ichthysroe, LLC
Mental Health Counselor · Staten Island, NY
NPI number
1417820044
Active
Practice location
344 Mountainview Ave
Staten Island, NY 10314-5343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1417820044
Ichthysroe, LLC's National Provider Identifier is 1417820044, issued on Sep 29, 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 29, 2025.