Provider Demographics
NPI:1992051015
Name:LAURO, MICHELE A (LMHC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:A
Last Name:LAURO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 331
Mailing Address - Street 2:
Mailing Address - City:CLINTONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12515-0331
Mailing Address - Country:US
Mailing Address - Phone:845-514-5512
Mailing Address - Fax:
Practice Address - Street 1:304 WALL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3850
Practice Address - Country:US
Practice Address - Phone:845-514-5512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health