Provider Demographics
NPI:1700317179
Name:STEINBERG, MARK (LMHC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CORPORATE PKWY
Mailing Address - Street 2:SUITE 318
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1200
Mailing Address - Country:US
Mailing Address - Phone:716-783-8292
Mailing Address - Fax:716-783-8299
Practice Address - Street 1:100 CORPORATE PKWY
Practice Address - Street 2:SUITE 318
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1200
Practice Address - Country:US
Practice Address - Phone:716-783-8292
Practice Address - Fax:716-783-8299
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health