Provider Demographics
NPI:1932947330
Name:RORY MCDONOUGH LMHC
Entity type:Organization
Organization Name:RORY MCDONOUGH LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RORY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MCDONOIUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-468-8123
Mailing Address - Street 1:49 WILLOW ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1665
Mailing Address - Country:US
Mailing Address - Phone:516-468-8123
Mailing Address - Fax:
Practice Address - Street 1:49 WILLOW ST APT 3F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1665
Practice Address - Country:US
Practice Address - Phone:516-468-8123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty