Mary Elizabeth Digiovanna, LMHC, NCC
Individual provider Active NPI Mental Health Counselor · Tully, NY
NPI 1003530601 · NPPES record last updated Sep 28, 2022
Key facts
- NPI
- 1003530601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 010207 (NY)
- Practice address
- 31 State St
Tully, NY 13159-3218 - Phone
- (607) 423-4831
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010207 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010207 | NY | Yes |
Addresses
Primary practice location
31 State St
Tully, NY 13159-3218
Mailing address
31 State St
Tully, NY 13159-3218
Phone (607) 423-4831
Other providers in Tully, NY
- Mary Elizabeth Bean
- Sally F Beattie
- Jonathan William Biggar
- Gianna Boles
- Brian Conners
- Jennifer Michele Dillon
- Lisa M Distin
- Denise Dolge
- James E Edinger
- Loretta Lynne Edinger
All providers in Tully, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.