Provider Demographics
NPI:1881954428
Name:GATTUSO, DENISE EILEEN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:EILEEN
Last Name:GATTUSO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 COUNTY ROUTE 93
Mailing Address - Street 2:
Mailing Address - City:SLATE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:10973-4107
Mailing Address - Country:US
Mailing Address - Phone:845-551-2124
Mailing Address - Fax:
Practice Address - Street 1:618 COUNTY ROUTE 93
Practice Address - Street 2:
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973-4107
Practice Address - Country:US
Practice Address - Phone:845-551-2124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18496101YA0400X
FLMH11950101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)