Active NPIIndividual providerSole proprietor

Shackola S Symons, LMHC, NCC

Counselor, Mental Health in New Rochelle, New York

NPI Number1255842464
Practice location
481 Main St, New Rochelle, NY 10801-6324
Fax
—
Last updated
October 14, 2017

Shackola Samantha Symons is a Counselor, Mental Health based in New Rochelle, NY. Shackola Samantha Symons practices in New Rochelle, NY and has the professional credentials of LMHC, NCC. The NPI Number for Shackola Samantha Symons is 1255842464 and holds a License No. 006456-1 (NY). The current practice location address for Shackola Samantha Symons is 481 Main St, New Rochelle, NY 10801-6324 and can be reached out via phone at 914-355-2440.

Provider Profile Details

NPI Number
1255842464
Provider Name
Shackola Samantha Symons
Credential
LMHC, NCC
Provider Entity Type
Individual
Gender
Female
Address
481 Main St, New Rochelle, NY 10801-6324
Phone Number
914-355-2440
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 14, 2017
Last Update Date
October 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 Main St
New Rochelle, NY 10801-6324
Zip
10801-6324
Phone Number
914-355-2440
New Rochelle, NY 10801Get directions →

Provider Business Mailing Address Details

Address
362 S 4TH Ave
Mount Vernon, NY 10550-4132
City
Mount Vernon
State
NY
Zip
10550-4132
Phone Number
718-614-2093

License Information

License Number
006456-1
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shackola S Symons, LMHC, NCC?

The NPI number of Shackola S Symons, LMHC, NCC is 1255842464. It was assigned on October 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Shackola S Symons, LMHC, NCC?

Shackola S Symons, LMHC, NCC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 006456-1.

Where does Shackola S Symons, LMHC, NCC practice?

The practice location is 481 Main St, New Rochelle, NY 10801-6324. The office can be reached at 914-355-2440 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255842464 directly on the NPPES registry website.

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