National Provider Identifier
Todd Gerome Mix, LMSW
Todd Gerome Mix, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 922-2570.
Profile Overview
- NPI
- 1003270349
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 13, 2016
- Last Updated
- April 13, 2016
Practice Location
- 490 E Ridge RD
- Rochester, NY 14621-1229
Phone: (585) 922-2570
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1003270349
- Entity Type
- Individual
- Last Name
- Mix
- First Name
- Todd
- Middle Name
- Gerome
- Credential
- LMSW
- Mailing Street Address
- 490 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1229
- Mailing Country
- US
- Mailing Phone
- (585) 922-2570
- Practice Street Address
- 490 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1229
- Practice Country
- US
- Practice Phone
- (585) 922-2570
- Enumeration Date
- April 13, 2016
- Last Updated
- April 13, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)