Alexis Dominguez, MA, LMHC | |
210 Main St Apt 911, Hackensack, NJ 07601-7366 | |
(415) 786-6107 | |
Not Available |
Full Name | Alexis Dominguez |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 210 Main St Apt 911, Hackensack, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487171567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Brighter Mind Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154143709 PECOS PAC ID: 4880128933 Enrollment ID: O20241112001218 |
Entity Name | Pathway Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487476644 PECOS PAC ID: 2365977402 Enrollment ID: O20241126000776 |
Mailing Address | Practice Location Address |
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Alexis Dominguez, MA, LMHC 19 Union Sq W, New York, NY 10003-3304 Ph: () - | Alexis Dominguez, MA, LMHC 210 Main St Apt 911, Hackensack, NJ 07601-7366 Ph: (415) 786-6107 |
Christine Randina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 84 Main St, Hackensack, NJ 07601 Phone: 201-487-4700 | |
Ms. Eleanor Marie Stucker, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Prospect Ave Apt 6a, Hackensack, NJ 07601 Phone: 201-525-1167 Fax: 201-525-1168 | |
Mrs. Angelica Maria Briggs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Catalpa Ave, Hackensack, NJ 07601 Phone: 201-926-6659 | |
Vanessa Bonilla, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 E Salem St, Hackensack, NJ 07601 Phone: 201-933-8508 | |
Amanda Alyse Ahearn, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Hudson St, Apt 1e, Hackensack, NJ 07601 Phone: 201-370-9227 | |
Elaine Peguero, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 795 Main St, Hackensack, NJ 07601 Phone: 201-488-5161 Fax: 201-488-5162 | |
Allan Howard Fierstein, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 Prospect Ave Apt 3o, Hackensack, NJ 07601 Phone: 201-742-2552 Fax: 201-342-4712 |