Tricia Lee Giambelluca, MHC

Individual provider Active NPI Mental Health Counselor · Grand Island, NY

NPI 1275723447 · NPPES record last updated Sep 18, 2023

Key facts

NPI
1275723447
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
004699 (NY)
Practice address
52 Woodstream Dr
Grand Island, NY 14072-1485
Phone
(716) 302-4545
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004699NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Counseling of New York LCSW, PLLC Current
since Sep 24, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004699 NY Yes

Addresses

Primary practice location

52 Woodstream Dr
Grand Island, NY 14072-1485

Mailing address

52 Woodstream Dr
Grand Island, NY 14072-1485
Phone (716) 302-4545

Other names

  • Tricia Lee Rynski Former name

Other providers in Grand Island, NY

All providers in Grand Island, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.