Christie Marie Brulhardt, MSED, CASAC-T
Individual provider Active NPI Mental Health Counselor · Wantagh, NY
NPI 1417469743 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1417469743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 013959-01 (NY)
- Practice address
- 58 Tinsel CT
Wantagh, NY 11793-1936 - Phone
- (516) 751-6138
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 013959-01 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 013959-01 | NY | Yes |
Addresses
Primary practice location
58 Tinsel CT
Wantagh, NY 11793-1936
Mailing address
58 Tinsel CT
Wantagh, NY 11793-1936
Phone (516) 751-6138
Other providers in Wantagh, NY
- James John Brostowin
- Robert L Brostowin
- Alexandra Brown
- Susan Marie Browne
- Ashley Rose Browning
- Marianne Elizabeth Brulhardt
- Nicole Marie Buffolino
- Jamie Bunsis
- Amanda Denise Buonora
- David M Burgess
All providers in Wantagh, 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 Mar 3, 2025. 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.