Provider Demographics
NPI:1093206211
Name:SFORZA, RYAN (LMHC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SFORZA
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 1:300 HYLAN DRIVE
Mailing Address - Street 2:SUITE 6, #119,
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623
Mailing Address - Country:US
Mailing Address - Phone:585-484-1822
Mailing Address - Fax:844-792-1833
Practice Address - Street 1:300 HYLAN DRIVE
Practice Address - Street 2:SUITE 6, #119,
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-484-1822
Practice Address - Fax:844-792-1833
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP01948101YM0800X
NY009645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health