Individual provider · Type 1 NPI

Eric Speciale, LMHC

Mental Health Counselor · Bayport, NY

NPI number 1851900559 Active

Practice location

972 Montauk Hwy
Bayport, NY 11705-1612

Mailing address

61 13th Ave
Ronkonkoma, NY 11779-6246

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X010573 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1851900559

Eric Speciale, LMHC's National Provider Identifier is 1851900559, issued on Jul 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bayport, NY. The record was last updated on Aug 23, 2021.