Provider Demographics
NPI:1336851799
Name:SUPPORTIVE SOLUTIONS MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:SUPPORTIVE SOLUTIONS MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LAZZARO-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-245-4415
Mailing Address - Street 1:4255 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4426
Mailing Address - Country:US
Mailing Address - Phone:716-245-4415
Mailing Address - Fax:716-328-1768
Practice Address - Street 1:4255 HARLEM RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4426
Practice Address - Country:US
Practice Address - Phone:716-245-4415
Practice Address - Fax:716-328-1768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty