Provider Demographics
NPI:1356003131
Name:BISI, VALERIE JEAN (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:BISI
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1260
Mailing Address - Country:US
Mailing Address - Phone:413-758-1950
Mailing Address - Fax:
Practice Address - Street 1:190 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1260
Practice Address - Country:US
Practice Address - Phone:413-758-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-09
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010894OtherLMHC, NEED NPI NUMBER FIRST