Search › New York › 101YM0800X
Kelly Waller, LMHC
NPI 1972269652 · on the registry since 2021 · sole proprietor
Practice
- Address
- 54 Chicago Ave
Massapequa, NY 11758 - Phone
- (516) 804-0448
- Organisation at this address
- Counseling Services Of Long Island Lcsw Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 400 Sunrise Hwy, Amityville, NY
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York