Provider Demographics
NPI:1255542395
Name:YUNITIS, FAITH (LCSW-R,ACSW,CGC)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:YUNITIS
Suffix:
Gender:F
Credentials:LCSW-R,ACSW,CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CEDAR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-2539
Mailing Address - Country:US
Mailing Address - Phone:631-846-4362
Mailing Address - Fax:
Practice Address - Street 1:77 CEDAR OAKS AVE
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-2539
Practice Address - Country:US
Practice Address - Phone:631-846-4362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR056619-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical