1275464638 NPI number — MS. ELISA EVA-KRISTINA HALE LCSW

Table of content: MS. ELISA EVA-KRISTINA HALE LCSW (NPI 1275464638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275464638 NPI number — MS. ELISA EVA-KRISTINA HALE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALE
Provider First Name:
ELISA
Provider Middle Name:
EVA-KRISTINA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275464638
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BEHAVIORAL HEALTH ACCESS & CRISIS CENTER (BHACC)
Provider Second Line Business Mailing Address:
65 GENESEE STREET
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14611
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-368-3950
Provider Business Mailing Address Fax Number:
585-368-3935

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BEHAVIORAL HEALTH ACCESS & CRISIS CENTER (BHACC)
Provider Second Line Business Practice Location Address:
65 GENESEE STREET
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-368-3950
Provider Business Practice Location Address Fax Number:
585-368-3935
Provider Enumeration Date:
05/26/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  092149 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)