Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Supportive Space Mental Health Counseling PLLC

Organization Mental Health Counselor · NPI 1184450397

Supportive Space Mental Health Counseling PLLC provides Mental Health Counselor services in Monroe, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

76 Pinehurst Cir
Monroe, NY 10950-5567
Phone: (212) 518-4644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184450397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colette Cassidy — Ceo · (212) 518-4644
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address76 Pinehurst Cir, Monroe, NY 10950-5567

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