IndividualActive
Andrew Moeller, LMHC
NPI 1629424957 · Mental Health Counselor · Massapequa, NY
Provider details
- NPI number
- 1629424957
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- License
- 006290-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
75 Grand Ave
Massapequa, NY 11758-4905
Phone: (516) 799-3203
Approximate (ZIP-level) locationGet directions
Mailing address
5 Dana Ln
West Islip, NY 11795-2205
Registry dates
- Enumerated
- 2016-05-05
- Last updated
- 2016-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.