Provider Demographics
NPI:1972171775
Name:MICHELLE VALDNER MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:MICHELLE VALDNER MENTAL HEALTH COUNSELING PLLC
Other - Org Name:LIVE HAPPY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-500-7591
Mailing Address - Street 1:17 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5021
Mailing Address - Country:US
Mailing Address - Phone:516-503-0628
Mailing Address - Fax:
Practice Address - Street 1:3650 LONG BEACH RD STE 1022
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5705
Practice Address - Country:US
Practice Address - Phone:516-500-7591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty