Provider Demographics
NPI:1932805926
Name:PEACEFUL MENTAL HEALTH COUNSELING, P.C.
Entity Type:Organization
Organization Name:PEACEFUL MENTAL HEALTH COUNSELING, P.C.
Other - Org Name:NICOLE FALZONE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FALZONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-334-2233
Mailing Address - Street 1:795 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3426
Mailing Address - Country:US
Mailing Address - Phone:631-334-2233
Mailing Address - Fax:
Practice Address - Street 1:75 PROSPECT ST STE 402A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3382
Practice Address - Country:US
Practice Address - Phone:631-334-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty