National Provider Identifier
Wadeline Theodore, LMHC
Wadeline Theodore, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 517-4297.
Profile Overview
- NPI
- 1841756442
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 19, 2019
- Last Updated
- November 08, 2023
Practice Location
- 295 Main St Rm 1083
- Buffalo, NY 14203-2510
Phone: (716) 517-4297
Mailing Address
- 1050 Niagara St
- Buffalo, NY 14213-2001
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1841756442
- Entity Type
- Individual
- Last Name
- Theodore
- First Name
- Wadeline
- Credential
- LMHC
- Mailing Street Address
- 1050 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2001
- Mailing Country
- US
- Mailing Phone
- (716) 856-2587
- Mailing Fax
- (716) 856-2608
- Practice Street Address
- 295 Main St Rm 1083
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-2510
- Practice Country
- US
- Practice Phone
- (716) 517-4297
- Practice Fax
- (716) 259-9035
- Enumeration Date
- February 19, 2019
- Last Updated
- November 08, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)