Provider Demographics
NPI:1215446224
Name:SINGH, VALISA (LMHC, CRC, CASAC)
Entity type:Individual
Prefix:MS
First Name:VALISA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:LMHC, CRC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 E JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7325
Mailing Address - Country:US
Mailing Address - Phone:516-548-5898
Mailing Address - Fax:516-548-5899
Practice Address - Street 1:545 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7325
Practice Address - Country:US
Practice Address - Phone:516-548-5898
Practice Address - Fax:516-548-5899
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
IL00115880225C00000X
NY0074431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor