Provider Demographics
NPI:1730762774
Name:CORDINER, NEILIE O (LMHC)
Entity type:Individual
Prefix:
First Name:NEILIE
Middle Name:O
Last Name:CORDINER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-1022
Mailing Address - Country:US
Mailing Address - Phone:518-796-8974
Mailing Address - Fax:
Practice Address - Street 1:50 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:GANSEVOORT
Practice Address - State:NY
Practice Address - Zip Code:12831-1022
Practice Address - Country:US
Practice Address - Phone:518-796-8974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP108708101YM0800X
NY013904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health