Provider Demographics
NPI:1912788258
Name:CNY TRUE NORTH MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:CNY TRUE NORTH MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:757-646-5861
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:CENTRAL SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:13036-0274
Mailing Address - Country:US
Mailing Address - Phone:757-646-5861
Mailing Address - Fax:
Practice Address - Street 1:662 S MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:CENTRAL SQUARE
Practice Address - State:NY
Practice Address - Zip Code:13036-3534
Practice Address - Country:US
Practice Address - Phone:757-646-5861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty