| Shane Patrick Hurley, LP MHC | |
| 
					636 Plank Rd, Clifton Park, NY 12065-2046  | |
| (518) 545-4691 | |
| Not Available | 
| Full Name | Shane Patrick Hurley | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 636 Plank Rd, Clifton Park, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336893932 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Entity Name | Behavioral Health Services North, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689621468 PECOS PAC ID: 3173511557 Enrollment ID: O20040504001084  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shane Patrick Hurley, LP MHC 104 W Sunnyside Way Apt 223, Troy, NY 12180-1495 Ph: (585) 435-7080  | Shane Patrick Hurley, LP MHC 636 Plank Rd, Clifton Park, NY 12065-2046 Ph: (518) 545-4691  | 
Elvira Horbata,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 Plank Rd Ste 209, Clifton Park, NY 12065 Phone: 518-545-4691  | |
Samuel Adam, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Barney Rd Ste 234, Clifton Park, NY 12065 Phone: 518-390-5014  | |
Brigette Reardon, LMHC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 634 Plank Rd Ste 206, Clifton Park, NY 12065 Phone: 518-456-5056  | |
Nicole M Viscusi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 939 Route 146 Ste 610, Clifton Park, NY 12065 Phone: 518-219-8232 Fax: 518-219-0744  | |
Ms. Laurie Jean Coreno -reynolds, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 636 Plank Rd Ste 111, Clifton Park, NY 12065 Phone: 518-383-3356 Fax: 518-371-9936  | |
Emily R Cicardi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Barney Rd, Clifton Park, NY 12065 Phone: 518-428-0611  | |
Carie Preece,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 653 Plank Rd, Clifton Park, NY 12065 Phone: 347-839-4105  |