Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KETEVAN GAGNIDZE-MCCORMICK, LMHC
Active Sole ProprietorMRS. KETEVAN GAGNIDZE-MCCORMICK, LMHC is a Mental Health Counselor healthcare provider located in NEWBURGH, New York. NPI 1356661037 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · NEWBURGH, NY
Registration Details
- NPI Number
- 1356661037
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2010 (16.176989081248 yrs)
- Last Updated
- Jun 4, 2010
- Licenses
-
003123 (NY)37PC00314800 (NJ)44SW05190800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 BRUCE STNEWBURGH, NY, 125506602Browse NY providers · Browse ZIP 12550
- Phone
- 8455617284
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Social Worker
Other Mental Health Counselor Providers in NEWBURGH, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JAMIE DARREL SHUMAKE | MHC | 1588870976 |
| MEREDITH A MILLEN | M.A.ED. | 1720167935 |
| MRS. STEPHANIE A BIRINCI | LMHC | 1073687489 |
| MRS. DEBBIE BC VANN | MHC-LP | 1184829889 |
| MRS. PATRICIA IORIO TEARE | LMHC | 1558549485 |
| MRS. DIANE ELIZABETH WEBB | LMHC | 1396900262 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.