Provider Demographics
NPI:1447581244
Name:ACOSTA, SUZANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:WILLIAMS ACOSTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:1160 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1631
Mailing Address - Country:US
Mailing Address - Phone:845-566-4707
Mailing Address - Fax:
Practice Address - Street 1:26 STATE ROUTE 17K
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3911
Practice Address - Country:US
Practice Address - Phone:845-245-0939
Practice Address - Fax:845-566-4707
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health