Provider Demographics
NPI:1568078533
Name:LINDA GIRIMONTE, LMHC, P.C.
Entity Type:Organization
Organization Name:LINDA GIRIMONTE, LMHC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRIMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-680-1798
Mailing Address - Street 1:16 JUNARD BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-2014
Mailing Address - Country:US
Mailing Address - Phone:631-680-1798
Mailing Address - Fax:
Practice Address - Street 1:93 MAIN ST STE 2C
Practice Address - Street 2:
Practice Address - City:WEST SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11796-1832
Practice Address - Country:US
Practice Address - Phone:631-938-6384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty