BROKEN WALLS CRUSHED SIDEWALKS COUNSELING LCSW PC
NPI 1023538006
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brushton, NY

Active since June 21, 2017
17 AVERY RD, BRUSHTON, NY 12916(518) 353-3035 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2018, Jul 15, 2017, Jun 21, 2017 (3 updates tracked since 2017).

About Broken Walls Crushed Sidewalks Counseling Lcsw Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROKEN WALLS CRUSHED SIDEWALKS COUNSELING LCSW PC (NPI 1023538006) is a healthcare organization registered as a mental health (including community mental health center) in Brushton, New York and active in the NPI registry since June 2017. The organization lists Penny Mcquinn, President, as its authorized official.

NPPES Registry Identity

NPI1023538006
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBROKEN WALLS CRUSHED SIDEWALKS COUNSELING LCSW PC
Location Address17 AVERY RDBrushton, NY 12916-3400
Mailing Address100 West StMalone, NY 12953-1120 · (518) 353-3035
Organization SubpartNo
Authorized OfficialPenny McquinnPresident · (518) 353-3035
Enumeration DateJune 21, 2017
Last NPPES UpdateFebruary 26, 20183 updates tracked since enumeration
NPI 1023538006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
17 AVERY RD, Brushton, NY 12916

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
17 AVERY RD
BRUSHTON, NY 12916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broken Walls Crushed Sidewalks Counseling Lcsw PC's NPI number?

The NPI number for Broken Walls Crushed Sidewalks Counseling Lcsw PC is 1023538006. It was assigned to this organization in the NPPES registry on June 21, 2017.

Where is Broken Walls Crushed Sidewalks Counseling Lcsw PC located?

Broken Walls Crushed Sidewalks Counseling Lcsw PC is located at 17 Avery Rd, Brushton, NY 12916. The listed phone number is (518) 353-3035.

What is Broken Walls Crushed Sidewalks Counseling Lcsw PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Broken Walls Crushed Sidewalks Counseling Lcsw PC was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.