Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supportive Space Mental Health Counseling PLLC

Organization Mental Health Counselor · NPI 1184450397

Supportive Space Mental Health Counseling PLLC is a Mental Health Counselor in Monroe, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

76 Pinehurst Cir
Monroe, NY 10950-5567
Phone: (212) 518-4644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184450397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colette Cassidy — Ceo · (212) 518-4644
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address76 Pinehurst Cir, Monroe, NY 10950-5567

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