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Contact Information

MICHELLE D RAYSOR, LMHC
1273 WILLIAM FLOYD PKWY
SHIRLEY, NY11967-1810
 Phone: 631-394-1805
 Fax: 631-887-3327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MICHELLE D RAYSOR · (Female)

NPI Number 1801308804
Status Active
Credentials LMHC (Licensed Mental Health Counselor)
Entity Individual
Enumeration date 10/30/2017
Last updated 06/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 11804
  • NY License # P99242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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