Individual provider · Type 1 NPI
Kelly Ann Waller, LMHC
Mental Health Counselor · Massapequa, NY
NPI number
1972269652
Active
Practice location
54 Chicago Ave
Massapequa, NY 11758-4422
Mailing address
304 N Utica Ave
Massapequa, NY 11758-2148
Other practice locations
- 400 Sunrise Hwy, Amityville, NY 11701-2508 · (631) 264-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 011709 (NY) |
Mental Health Counselor: Definition to come...
4 other providers at this address
- Counseling Services of Long Island LCSW PCMental Health Clinic/Center (Including Community Mental Health Center) Massapequa, NY NPI 1760982078
- Kenneth Beiner, LCSWClinical Social Worker Massapequa, NY NPI 1326493826
- Penny E. Siegmann-Beiner, LCSW-RClinical Social Worker Massapequa, NY NPI 1730175738
- Rosa M. CarinoCounselor Massapequa, NY NPI 1588214951
Other mental health counselor providers in Massapequa
- Corinne Agnes Alba, LMHC, CASACMental Health Counselor Massapequa, NY NPI 1124282942
- Chelsea Carver Goodman, LMHCMental Health Counselor Massapequa, NY NPI 1134890593
- Linda Duemig, LMHC-DMental Health Counselor Massapequa, NY NPI 1164197620
- Amanda Lauren MalandruccoloMental Health Counselor Massapequa, NY NPI 1174406045
- Sofia Marie Marinucci, MHC-LPMental Health Counselor Massapequa, NY NPI 1194649970
- Abigale Elizabeth Walker, MHC-LPMental Health Counselor Massapequa, NY NPI 1205525755
- Melinda Marie Campo, LMHCMental Health Counselor Massapequa, NY NPI 1205717733
- Simone Althea Chung, MHC-LPMental Health Counselor Massapequa, NY NPI 1205762598
About NPI 1972269652
Kelly Ann Waller, LMHC's National Provider Identifier is 1972269652, issued on Nov 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Massapequa, NY. The record was last updated on Nov 16, 2021.