Provider Demographics
NPI:1770229809
Name:ENCOMPASS MENTAL HEALTH COUNSELING P.C.
Entity Type:Organization
Organization Name:ENCOMPASS MENTAL HEALTH COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYNA
Authorized Official - Middle Name:MERL
Authorized Official - Last Name:HAVELOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-650-1747
Mailing Address - Street 1:18 STONEHOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2679
Mailing Address - Country:US
Mailing Address - Phone:203-650-1747
Mailing Address - Fax:
Practice Address - Street 1:100B DANBURY ROAD
Practice Address - Street 2:SUITE 202A
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877
Practice Address - Country:US
Practice Address - Phone:203-650-1747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty