National Provider Identifier

Levada Bamba, CASAC-T

Levada Bamba, CASAC-T is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 818-7195.

NPI 1306093414Buffalo, NYCounselor

Profile Overview

NPI
1306093414
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
August 20, 2008
Last Updated
August 20, 2008

Practice Location

  • 951 Niagara Street
  • Adolescent Program
  • Buffalo, NY 14213

Phone: (716) 818-7195

Mailing Address

  • 254 Franklin Street
  • Lake Shore Behavioral Health
  • Buffalo, NY 14202

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1306093414
Entity Type
Individual
Last Name
Bamba
First Name
Levada
Name Prefix
MS.
Credential
CASAC-T
Mailing Street Address
254 Franklin Street
Mailing Address Line 2
Lake Shore Behavioral Health
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202
Mailing Country
US
Mailing Phone
(716) 842-0440
Mailing Fax
(716) 842-4069
Practice Street Address
951 Niagara Street
Practice Address Line 2
Adolescent Program
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213
Practice Country
US
Practice Phone
(716) 818-7195
Practice Fax
(716) 884-1758
Enumeration Date
August 20, 2008
Last Updated
August 20, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)