Genie Portillo LCSW-R, Casc

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Westhampton Beach, NY

NPI 1508448465 · NPPES record last updated Apr 21, 2021

Key facts

NPI
1508448465
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
GENIE PORTILLO LCSW-R, CASC
Practice address
16 Library Ave Ste B
Westhampton Beach, NY 11978-2664
Phone
(631) 998-4644
NPI assigned
Apr 21, 2021
Organization subpart
No

Authorized official

Name
Genie Portillo, LCSW-R
Title
Owner
Phone
(631) 998-4644

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

16 Library Ave Ste B
Westhampton Beach, NY 11978-2664

Mailing address

16 Library Ave Ste B
Westhampton Beach, NY 11978-2664
Phone (631) 998-4644

Other providers in Westhampton Beach, NY

All providers in Westhampton Beach, NY · Mental Health Clinic/Center (Including Community Mental Health Center) in New York

Sources for this page

Verify at the official NPI Registry.