Emilia T McGloin, LMHC

Individual provider Active NPI Mental Health Counselor · Booneville, KY

NPI 1689201394 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1689201394
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
012824-01 (NY)
Practice address
2055 Straight Fork Zekes Branch Rd
Booneville, KY 41314-7434
Phone
(646) 263-1022
NPI assigned
Mar 24, 2020
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
012824-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Childsafe Center - Cac Past
since Mar 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012824-01 NY Yes
Mental Health Counselor 101YM0800X 0704007458

Addresses

Primary practice location

2055 Straight Fork Zekes Branch Rd
Booneville, KY 41314-7434

Mailing address

2055 Straight Fork Zekes Branch Rd
Booneville, KY 41314-7434
Phone (646) 263-1022

Other practice location 1

927 Rest Church Rd
Clear Brook, VA 22624-1509
Phone (540) 327-9218

Other practice location 2

411 N Cameron St Ste 301
Winchester, VA 22601-6046
Phone (540) 665-4426

Other names

  • Emilia T. McGloin Other name

Other providers in Booneville, KY

All providers in Booneville, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.