Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLYANNE BRADY, LMHC
Active Sole ProprietorMental Health Counselor · MASSAPEQUA PARK, NY
Registration Details
- NPI Number
- 1780158485
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2019 (7.2901888201453 yrs)
- Last Updated
- Sep 29, 2019
- License
-
006630 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 2ND AVEMASSAPEQUA PARK, NY, 117621500Browse NY providers · Browse ZIP 11762
- Phone
- 7184063656
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MASSAPEQUA PARK, NY
| Name | Credential | NPI |
|---|---|---|
| ERIC J WALTER | PSY.D. | 1003170192 |
| LAUREN DIAMOND | MHC | 1841659471 |
| KAYLA MARIE VANGUILDER | MS | 1891155735 |
| MS. MARY ROSE STARKE | MHC-LP | 1134733454 |
| BRENNA MARIE GUINAN | CRC, LPMHC | 1972195998 |
| HEATHER DEGUIRE | — | 1780320960 |
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.