Provider Demographics
NPI:1215683685
Name:EASTSIDE MENTAL HEALTH COUNSELING
Entity type:Organization
Organization Name:EASTSIDE MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOTO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:585-420-8597
Mailing Address - Street 1:95 ALLENS CREEK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3245
Mailing Address - Country:US
Mailing Address - Phone:585-420-8597
Mailing Address - Fax:585-360-4633
Practice Address - Street 1:95 ALLENS CREEK RD STE 300
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3245
Practice Address - Country:US
Practice Address - Phone:585-943-7011
Practice Address - Fax:585-360-4633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty