Provider Demographics
NPI:1073252805
Name:PARUOLO, BRIANNA MARIE (LCMHC)
Entity Type:Individual
Prefix:MISS
First Name:BRIANNA
Middle Name:MARIE
Last Name:PARUOLO
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 159TH ST
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2720
Mailing Address - Country:US
Mailing Address - Phone:516-941-5262
Mailing Address - Fax:
Practice Address - Street 1:1443 159TH ST
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-2720
Practice Address - Country:US
Practice Address - Phone:516-941-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014311101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health