National Provider Identifier
Wanda J Russell, LMHC
Wanda J Russell, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lily Dale, NY and a listed phone number of (412) 997-4323.
Profile Overview
- NPI
- 1972870202
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 01, 2011
- Last Updated
- January 12, 2026
Practice Location
- PO Box 121
- 19 First Street
- Lily Dale, NY 14752-0121
Phone: (412) 997-4323
Specialties
- Mental Health Counselor (101YM0800X)
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1972870202
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Wanda
- Middle Name
- J
- Credential
- LMHC
- Mailing Street Address
- PO Box 121
- Mailing Address Line 2
- 19 First Street
- Mailing City
- Lily Dale
- Mailing State
- NY
- Mailing ZIP Code
- 14752-0121
- Mailing Country
- US
- Mailing Phone
- (412) 997-4323
- Practice Street Address
- PO Box 121
- Practice Address Line 2
- 19 First Street
- Practice City
- Lily Dale
- Practice State
- NY
- Practice ZIP Code
- 14752-0121
- Practice Country
- US
- Practice Phone
- (412) 997-4323
- Enumeration Date
- December 01, 2011
- Last Updated
- January 12, 2026
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 12, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Professional Counselor (101YP2500X)