National Provider Identifier

Bethany Leigh Nelligan, LMHC, CASAC

Bethany Leigh Nelligan, LMHC, CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Hamburg, NY and a listed phone number of (716) 512-9195.

NPI 1164286670Hamburg, NYMental Health Counselor

Profile Overview

NPI
1164286670
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
February 06, 2024
Last Updated
February 06, 2024

Practice Location

  • 3937 Yale Ave
  • Hamburg, NY 14075-2810

Phone: (716) 512-9195

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1164286670
Entity Type
Individual
Last Name
Nelligan
First Name
Bethany
Middle Name
Leigh
Name Prefix
Mrs.
Credential
LMHC, CASAC
Mailing Street Address
3937 Yale Ave
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2810
Mailing Country
US
Mailing Phone
(716) 512-9195
Practice Street Address
3937 Yale Ave
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-2810
Practice Country
US
Practice Phone
(716) 512-9195
Enumeration Date
February 06, 2024
Last Updated
February 06, 2024
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
February 06, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)