Provider Demographics
NPI:1053881920
Name:CALM WATERS MENTAL HEALTH COUNSELING PC
Entity type:Organization
Organization Name:CALM WATERS MENTAL HEALTH COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, CCTP
Authorized Official - Phone:631-793-8420
Mailing Address - Street 1:445 LINCOLN BLVD APT 2-2A
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2930
Mailing Address - Country:US
Mailing Address - Phone:631-793-8420
Mailing Address - Fax:
Practice Address - Street 1:445 LINCOLN BLVD APT 2-2A
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2930
Practice Address - Country:US
Practice Address - Phone:631-793-8420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty