Provider Demographics
NPI:1871274530
Name:THANA, AULONA (MS, MFT)
Entity type:Individual
Prefix:MRS
First Name:AULONA
Middle Name:
Last Name:THANA
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:MRS
Other - First Name:AULONA
Other - Middle Name:
Other - Last Name:THANA BACELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MFT
Mailing Address - Street 1:15 TERPAK CT
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1267
Mailing Address - Country:US
Mailing Address - Phone:646-778-1924
Mailing Address - Fax:
Practice Address - Street 1:15 TERPAK CT
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1267
Practice Address - Country:US
Practice Address - Phone:646-778-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist