Provider Demographics
NPI:1164723235
Name:HULTS, CAROL DIANA (LMHC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:DIANA
Last Name:HULTS
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 1:38 MEY CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:STORMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12582-5624
Mailing Address - Country:US
Mailing Address - Phone:845-878-5173
Mailing Address - Fax:
Practice Address - Street 1:1849 ROUTE 6
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2316
Practice Address - Country:US
Practice Address - Phone:845-661-2884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001326101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health