Provider Demographics
NPI:1598275091
Name:NIVAR, VALERIE (LMHC, LPC, CCMHC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:NIVAR
Suffix:
Gender:F
Credentials:LMHC, LPC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 PINEWOOD RD APT 80
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1405
Mailing Address - Country:US
Mailing Address - Phone:845-461-4245
Mailing Address - Fax:
Practice Address - Street 1:127 S BROADWAY
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-4433
Practice Address - Country:US
Practice Address - Phone:914-292-3617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty