Provider Demographics
NPI:1861037020
Name:MENTAL HEALTH COUNSELING OF NIAGARA COUNTY PLLC
Entity Type:Organization
Organization Name:MENTAL HEALTH COUNSELING OF NIAGARA COUNTY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIECZONKA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-870-3526
Mailing Address - Street 1:636 N FRENCH RD STE 7
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1900
Mailing Address - Country:US
Mailing Address - Phone:716-870-3526
Mailing Address - Fax:
Practice Address - Street 1:7311 PORTER RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-5706
Practice Address - Country:US
Practice Address - Phone:716-870-3526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851617849OtherNPPES