Provider Demographics
NPI:1366909731
Name:WENDY B PEGAN LMHC DBA ARTEMIS MENTAL HEALTH COUNSELING
Entity type:Organization
Organization Name:WENDY B PEGAN LMHC DBA ARTEMIS MENTAL HEALTH COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-446-9226
Mailing Address - Street 1:7345 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1180
Mailing Address - Country:US
Mailing Address - Phone:716-446-9226
Mailing Address - Fax:
Practice Address - Street 1:7345 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1180
Practice Address - Country:US
Practice Address - Phone:716-446-9226
Practice Address - Fax:716-688-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1780893180OtherCOUNSELING
NY1366909731.OtherCOUNSELING