Provider Demographics
NPI:1932962461
Name:CH MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:CH MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENET
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNESSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EDM, LMHC
Authorized Official - Phone:646-808-9166
Mailing Address - Street 1:148 MADISON AVE RM 600
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6779
Mailing Address - Country:US
Mailing Address - Phone:917-216-7787
Mailing Address - Fax:
Practice Address - Street 1:148 MADISON AVE RM 600
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6779
Practice Address - Country:US
Practice Address - Phone:917-216-7787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty