Provider Demographics
NPI:1629639000
Name:PRESUTTI, BRIANNA (LMHC)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:PRESUTTI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1365
Mailing Address - Country:US
Mailing Address - Phone:585-610-0113
Mailing Address - Fax:
Practice Address - Street 1:139 MEADOW LN
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1365
Practice Address - Country:US
Practice Address - Phone:585-610-0113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health