Provider Demographics
NPI:1922379155
Name:RANAGHAN, DENISE MARIE (LMHC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MARIE
Last Name:RANAGHAN
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 1:26 MINK HOLLOW ROAD, BOX 204
Mailing Address - Street 2:
Mailing Address - City:LAKE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:12448
Mailing Address - Country:US
Mailing Address - Phone:845-204-5900
Mailing Address - Fax:
Practice Address - Street 1:10 ORCHARD LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:12498-1192
Practice Address - Country:US
Practice Address - Phone:845-204-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18004530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health