Provider Demographics
NPI:1851067714
Name:ASPIRE TO WELLNESS BEHAVIORAL HEALTH, LCSW, PLLC
Entity Type:Organization
Organization Name:ASPIRE TO WELLNESS BEHAVIORAL HEALTH, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ARELIS
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-200-9230
Mailing Address - Street 1:2255 STATE ROUTE 32 UNIT 619
Mailing Address - Street 2:
Mailing Address - City:MODENA
Mailing Address - State:NY
Mailing Address - Zip Code:12548-7027
Mailing Address - Country:US
Mailing Address - Phone:845-200-9230
Mailing Address - Fax:949-561-5645
Practice Address - Street 1:263 ROUTE 17K STE 107A
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-8345
Practice Address - Country:US
Practice Address - Phone:845-200-9230
Practice Address - Fax:949-561-5645
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPIRE TO WELLNESS BEHAVIORAL HEALTH, LCSW, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-20
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty