Provider Demographics
NPI:1851052120
Name:MUTUAL ARISING MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:MUTUAL ARISING MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CASAC
Authorized Official - Phone:518-573-2925
Mailing Address - Street 1:160 LOOMIS RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12037-9790
Mailing Address - Country:US
Mailing Address - Phone:518-573-2925
Mailing Address - Fax:
Practice Address - Street 1:160 LOOMIS RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12037-9790
Practice Address - Country:US
Practice Address - Phone:518-573-2925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)