Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACI GLEE BRYSON-DES RAULT, LMHC
Active Sole ProprietorMental Health Counselor · MASSAPEQUA, NY
Registration Details
- NPI Number
- 1457617920
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2012 (14.045350937581 yrs)
- Last Updated
- Sep 8, 2021
- License
-
005197 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 N WALNUT STMASSAPEQUA, NY, 117583051Browse NY providers · Browse ZIP 11758
- Phone
- 6315422501
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Mental Health Counselor Providers in MASSAPEQUA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY ANNE BERKERY | LPC,LMHC, RPT-S | 1871647610 |
| MRS. CORINNE AGNES ALBA | LMHC, CASAC | 1124282942 |
| DANIELLA BURNS | LMHC | 1548683550 |
| JACLYN CAIO | — | 1982076493 |
| ANDREW MOELLER | LMHC | 1629424957 |
| BROOKE WILLIAMS | LMHC | 1972058014 |
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.