National Provider Identifier

Susan Miranda Prise, MA, CMHC-LP

Susan Miranda Prise, MA, CMHC-LP is listed in the NPPES registry with a primary specialty of Mental Health Counselor in East Aurora, NY and a listed phone number of (631) 629-2562.

NPI 1306659446East Aurora, NYMental Health Counselor

Profile Overview

NPI
1306659446
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 31, 2025
Last Updated
January 31, 2025

Practice Location

  • 909 Underhill RD
  • East Aurora, NY 14052-3023

Phone: (631) 629-2562

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1306659446
Entity Type
Individual
Last Name
Prise
First Name
Susan
Middle Name
Miranda
Credential
MA, CMHC-LP
Mailing Street Address
909 Underhill RD
Mailing City
East Aurora
Mailing State
NY
Mailing ZIP Code
14052-3023
Mailing Country
US
Practice Street Address
909 Underhill RD
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-3023
Practice Country
US
Practice Phone
(631) 629-2562
Enumeration Date
January 31, 2025
Last Updated
January 31, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)