Individual provider · Type 1 NPI

Kellyanne Brady, LMHC

Mental Health Counselor · Massapequa Park, NY

NPI number 1780158485 Active

Practice location

425 2nd Ave
Massapequa Park, NY 11762-1500

Call (718) 406-3656 Map

Other practice locations

  • 425 2nd Ave, Massapequa Park, NY 11762-1500 · (718) 406-3656
  • 30 Hempstead Ave Ste 248, Rockville Centre, NY 11570-4034 · (516) 323-3854

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X006630 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1780158485

Kellyanne Brady, LMHC's National Provider Identifier is 1780158485, issued on Jan 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Massapequa Park, NY. The record was last updated on Sep 29, 2019.