MRS. WENDY L EDDY LMHC, CASAC
NPI 1215258967
Counselor - Mental Health in Black Rivewr, NY
Active since June 17, 2010
21534 STAPLIN ROAD, BLACK RIVEWR, NY 13612(315) 771-8322(315) 788-1529 Get Directions Write a Review
About Mrs. Wendy L Eddy Lmhc, Casac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. WENDY L EDDY LMHC, CASAC (NPI 1215258967) is an individual mental health provider in Black Rivewr, New York, licensed in New York (001759-1) and active in the NPI registry since June 2010.
NPPES Registry Identity
NPI1215258967
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. WENDY L EDDYCredential: LMHC, CASAC
Location Address21534 STAPLIN ROADBlack Rivewr, NY 13612
Mailing Address21534 Staplin RdBlack River, NY 13612-2170 · (315) 771-8322 · Fax (315) 788-1529
Phone(315) 771-8322
Fax(315) 788-1529
Sole ProprietorNo
Enumeration DateJune 17, 2010
✔ NPI 1215258967 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 001759-1
21534 STAPLIN ROAD, Black Rivewr, NY 13612
Other Identifiers 1
Other20-5841583NY · Ein
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215258967, enumerated as an "individual" on June 17, 2010.
The provider is located at 21534 STAPLIN ROAD BLACK RIVEWR, NY 13612 and the phone number is (315) 771-8322.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
