National Provider Identifier

Heather Anne Gennuso, LMHC

Heather Anne Gennuso, LMHC is listed in the NPPES registry with a primary specialty of Emotionally Disturbed Childrens' Residential Treatment Facility in Buffalo, NY and a listed phone number of (716) 359-5900.

NPI 1659146744Buffalo, NYEmotionally Disturbed Childrens' Residential Treatment Facility

Profile Overview

NPI
1659146744
Provider Type
Individual
Primary Specialty
Emotionally Disturbed Childrens' Residential Treatment Facility
Enumeration Date
November 17, 2023
Last Updated
November 17, 2023

Practice Location

  • 824 Delaware Ave
  • Buffalo, NY 14209-2006

Phone: (716) 359-5900

Specialties

  • Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X)
Full Record
NPI
1659146744
Entity Type
Individual
Last Name
Gennuso
First Name
Heather
Middle Name
Anne
Credential
LMHC
Mailing Street Address
824 Delaware Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2006
Mailing Country
US
Mailing Phone
(716) 359-5900
Practice Street Address
824 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2006
Practice Country
US
Practice Phone
(716) 359-5900
Enumeration Date
November 17, 2023
Last Updated
November 17, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
November 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X)