Individual provider · Type 1 NPI
Staci Grodin
Mental Health Counselor · Larchmont, NY
NPI number
1912689720
Active
Practice location
214 Hommocks Rd
Larchmont, NY 10538-3915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 002819 (NY) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1912689720
Staci Grodin's National Provider Identifier is 1912689720, issued on Aug 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Larchmont, NY. The record was last updated on Jul 21, 2026.