Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Staci Glee Bryson-Des Rault, LMHC

Individual provider Mental Health Counselor · NPI 1457617920

Staci Glee Bryson-Des Rault, LMHC is a Mental Health Counselor in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

90 N Walnut St
Massapequa, NY 11758-3051
Phone: (631) 542-2501
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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 · Licence 005197 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1457617920
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedApril 9, 2012
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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