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

Emily Moreno, R-DMT

Individual provider Mental Health Counselor · NPI 1184595761

Emily Moreno, R-DMT is a Mental Health Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

4456 Amboy Rd
Staten Island, NY 10312-3897
Phone: (718) 967-0490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NY)

Record details

NPI number1184595761
Entity typeIndividual (Type 1)
GenderFemale
Credentials R-DMT
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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