Provider Demographics
NPI:1407052012
Name:ALOMIA, JEANNETTE (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:JEANNETTE
Middle Name:
Last Name:ALOMIA
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 1:1616 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1747
Mailing Address - Country:US
Mailing Address - Phone:516-546-2506
Mailing Address - Fax:
Practice Address - Street 1:865 MERRICK RD STE 305
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3338
Practice Address - Country:US
Practice Address - Phone:516-868-3421
Practice Address - Fax:516-623-3644
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18000878101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health