Provider Demographics
NPI:1649044967
Name:VIOLANTI MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:VIOLANTI MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMHC
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VIOLANTI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-431-3314
Mailing Address - Street 1:4535 SOUTHWESTERN BLVD STE 710B
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1870
Mailing Address - Country:US
Mailing Address - Phone:716-431-3314
Mailing Address - Fax:716-431-3310
Practice Address - Street 1:4535 SOUTHWESTERN BLVD STE 710B
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1870
Practice Address - Country:US
Practice Address - Phone:716-431-3314
Practice Address - Fax:716-431-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07582369Medicaid