Provider Demographics
NPI:1972021947
Name:MENTAL HEALTH COUNSELING FOR EMOTIONAL WELL-BEING PLLC
Entity type:Organization
Organization Name:MENTAL HEALTH COUNSELING FOR EMOTIONAL WELL-BEING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LMHC
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:KRISTIN
Authorized Official - Last Name:CATUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ED PD LMHC
Authorized Official - Phone:914-792-0996
Mailing Address - Street 1:351 MANVILLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2166
Mailing Address - Country:US
Mailing Address - Phone:914-762-0996
Mailing Address - Fax:
Practice Address - Street 1:351 MANVILLE RD STE 109
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2166
Practice Address - Country:US
Practice Address - Phone:914-762-0996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY90-0431922OtherMENTAL HEALTH COUNSELING PRIVATE PRACTICE
NY90-0431922Medicaid