Provider Demographics
NPI:1689877052
Name:ARMIENTO, MARK MICHAEL (LMFT LMHC CASAC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:MICHAEL
Last Name:ARMIENTO
Suffix:
Gender:M
Credentials:LMFT LMHC CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1819
Mailing Address - Country:US
Mailing Address - Phone:914-637-8434
Mailing Address - Fax:
Practice Address - Street 1:1041 WEAVER ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-1819
Practice Address - Country:US
Practice Address - Phone:914-637-8434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4957101YA0400X
NY000529101YM0800X
NY000250106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist