Provider Demographics
NPI:1700373636
Name:INFINITY MENTAL HEALTH COUNSELING
Entity Type:Organization
Organization Name:INFINITY MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:WALKO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:845-430-3158
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-0201
Mailing Address - Country:US
Mailing Address - Phone:845-430-3158
Mailing Address - Fax:845-265-8291
Practice Address - Street 1:7 INNIS STREET
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561
Practice Address - Country:US
Practice Address - Phone:845-430-3158
Practice Address - Fax:845-265-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006144101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty