Provider Demographics
NPI:1033965611
Name:ASPIRE COUNSELING BY MARY TESTA INC
Entity Type:Organization
Organization Name:ASPIRE COUNSELING BY MARY TESTA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR/OW
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TESTA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:585-234-0440
Mailing Address - Street 1:323 PARRISH ROAD
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-9715
Mailing Address - Country:US
Mailing Address - Phone:585-234-0440
Mailing Address - Fax:585-324-9389
Practice Address - Street 1:95 ALLENS CREEK ROAD
Practice Address - Street 2:BLDG 1, STE 116
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3250
Practice Address - Country:US
Practice Address - Phone:585-234-0440
Practice Address - Fax:585-624-9389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07617169Medicaid