Doctor Name: | CARLA BIANCA WINNER |
NPI Number: | 1164820031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 006299-1 |
Business Practice Address: | 196 Delaware Ave Delmar, NY - 120541230 |
Business Phone Number: | 5184390033 |
Business Fax Number: | 5184397167 |
Mailing Address: | 196 Delaware Ave, DELMAR |
State: | NY |
Postal Code: | 120541230 |
Phone Number: | 5184390033 |
Fax Number: | 5184397167 |
NPI Enumeration Date: | 12/09/2014 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 006299-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |