National Provider Identifier

Theoneste Bizimana, LMHC

Theoneste Bizimana, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (609) 553-3652.

NPI 1417806209Ithaca, NYMental Health Counselor

Profile Overview

NPI
1417806209
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 24, 2026
Last Updated
January 24, 2026

Practice Location

  • 25 White Hawk Ln
  • Ithaca, NY 14850-9029

Phone: (609) 553-3652

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1417806209
Entity Type
Individual
Last Name
Bizimana
First Name
Theoneste
Credential
LMHC
Mailing Street Address
25 White Hawk Ln
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9029
Mailing Country
US
Mailing Phone
(609) 553-3652
Practice Street Address
25 White Hawk Ln
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9029
Practice Country
US
Practice Phone
(609) 553-3652
Enumeration Date
January 24, 2026
Last Updated
January 24, 2026
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 24, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)