Tidewater Mental Health Counseling PLLC
Tidewater Mental Health Counseling PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Huntington Station, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
172 W 21st StHuntington Station, NY 11746-2122
Phone: (484) 599-1580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1497556088 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacquelyn Jackson — Owner · (484) 599-1580 |
| NPI enumerated | March 20, 2025 |
| Last updated in NPPES | March 20, 2025 |
| Certification date | March 20, 2025 |
| Mailing address | 172 W 21st St, Huntington Station, NY 11746-2122 |
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