Provider Demographics
NPI:1710618277
Name:ROWAN MENTAL HEALTH COUNSELING
Entity Type:Organization
Organization Name:ROWAN MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:518-224-8800
Mailing Address - Street 1:2498 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-9483
Mailing Address - Country:US
Mailing Address - Phone:518-224-8800
Mailing Address - Fax:518-252-4466
Practice Address - Street 1:2498 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-9483
Practice Address - Country:US
Practice Address - Phone:518-224-8800
Practice Address - Fax:518-252-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004325OtherNYS OFFICE OF PROFESSIONS
NY005909OtherNYS OFFICE OF PROFESSIONS