Individual provider · Type 1 NPI
Emma Grace Havrilla
Mental Health Counselor · Northport, NY
NPI number
1508757766
Active
Practice location
12 Hillside Pl
Northport, NY 11768-1911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1508757766
Emma Grace Havrilla's National Provider Identifier is 1508757766, issued on Jul 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northport, NY. The record was last updated on Jul 14, 2025.