Provider Demographics
NPI:1720462161
Name:DARIOTIS, ELENI M (LMHC, MAC, BCPC,)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:M
Last Name:DARIOTIS
Suffix:
Gender:F
Credentials:LMHC, MAC, BCPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 DOLSON AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6440
Mailing Address - Country:US
Mailing Address - Phone:845-342-5789
Mailing Address - Fax:
Practice Address - Street 1:41 DOLSON AVE STE 6
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6440
Practice Address - Country:US
Practice Address - Phone:845-342-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004495-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health