Provider Demographics
NPI:1619791712
Name:BLEECHER, DANIEL ALLAN (LMHC-D)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALLAN
Last Name:BLEECHER
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 1:298 POND VIEW LN
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-5212
Mailing Address - Country:US
Mailing Address - Phone:631-901-6218
Mailing Address - Fax:
Practice Address - Street 1:298 POND VIEW LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5212
Practice Address - Country:US
Practice Address - Phone:631-901-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)