Provider Demographics
NPI:1225796592
Name:PREVAIL MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:PREVAIL MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CASTROGIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-305-7501
Mailing Address - Street 1:557 SEMINOLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1820
Mailing Address - Country:US
Mailing Address - Phone:516-305-7501
Mailing Address - Fax:
Practice Address - Street 1:557 SEMINOLE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1820
Practice Address - Country:US
Practice Address - Phone:631-517-3525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty