National Provider Identifier

Tina Divita

Tina Divita is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cheektowaga, NY and a listed phone number of (716) 895-6700.

NPI 1780056937Cheektowaga, NYMental Health Counselor

Profile Overview

NPI
1780056937
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 28, 2015
Last Updated
October 28, 2015

Practice Location

  • 1526 Walden Avenue
  • Cheektowaga, NY 14225

Phone: (716) 895-6700

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1780056937
Entity Type
Individual
Last Name
Divita
First Name
Tina
Mailing Street Address
1526 Walden Avenue
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225
Mailing Country
US
Mailing Phone
(716) 895-6700
Mailing Fax
(716) 895-0436
Practice Street Address
1526 Walden Avenue
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225
Practice Country
US
Practice Phone
(716) 895-6700
Practice Fax
(716) 895-0436
Enumeration Date
October 28, 2015
Last Updated
October 28, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)