Provider Demographics
NPI:1376027532
Name:PURVIN, STEVEN L (LMHC-D)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:PURVIN
Suffix:
Gender:M
Credentials:LMHC-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 MERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2719
Mailing Address - Country:US
Mailing Address - Phone:929-242-9070
Mailing Address - Fax:
Practice Address - Street 1:467 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2719
Practice Address - Country:US
Practice Address - Phone:929-242-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-23
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health