Provider Demographics
NPI:1326552167
Name:LAURA BLIGH LMHC
Entity Type:Organization
Organization Name:LAURA BLIGH LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLIGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:585-447-1273
Mailing Address - Street 1:7187 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-9411
Mailing Address - Country:US
Mailing Address - Phone:585-447-1273
Mailing Address - Fax:585-243-9630
Practice Address - Street 1:106 MAIN ST
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1236
Practice Address - Country:US
Practice Address - Phone:585-447-1273
Practice Address - Fax:585-243-9630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004844261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02249154Medicaid