Individual provider · Type 1 NPI

Carla Raina Mayellus

Mental Health Counselor · Staten Island, NY

NPI number 1801757026 Active

Practice location

1765 South Ave
Staten Island, NY 10314-3604

Call (718) 982-6982 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801757026

Carla Raina Mayellus's National Provider Identifier is 1801757026, issued on Nov 18, 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 Nov 18, 2025.