Provider Demographics
NPI:1326416165
Name:MAHANY-SCHUNK, CAROLYN (LMHC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:MAHANY-SCHUNK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:MAHANY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:10222 STATE ROUTE 961F
Mailing Address - Street 2:
Mailing Address - City:ARKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14807-9615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10222 STATE ROUTE 961F
Practice Address - Street 2:
Practice Address - City:ARKPORT
Practice Address - State:NY
Practice Address - Zip Code:14807-9615
Practice Address - Country:US
Practice Address - Phone:607-385-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X
NY007910101YM0800X
FLTPMC5213101YM0800X
PAPC017861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional