Provider Demographics
NPI:1598466807
Name:VESTAL MENTAL HEALTH COUNSELING P.C.
Entity Type:Organization
Organization Name:VESTAL MENTAL HEALTH COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRIANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-387-9282
Mailing Address - Street 1:445 S JENSEN RD
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3018
Mailing Address - Country:US
Mailing Address - Phone:607-238-7928
Mailing Address - Fax:
Practice Address - Street 1:445 S JENSEN RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3018
Practice Address - Country:US
Practice Address - Phone:607-238-7928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty