Chanel Viviana Tazza, LMHC | |
5913 Grove St, Ridgewood, NY 11385-2647 | |
(646) 456-0819 | |
(718) 297-8658 |
Full Name | Chanel Viviana Tazza |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5913 Grove St, Ridgewood, 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 |
---|---|---|---|
1053510354 | NPI | - | NPPES |
00-4161 | Other | NY | NYS MENTAL HEALTH COUNSELOR LICENSE |
006801 | Other | CT | STATE LICENSE |
37PC00991600 | Other | NJ | STATE LICENSE |
07679601 | Medicaid | NY | |
1053510354 | Other | NPI |
Entity Name | Transitional Services For New York, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457418337 PECOS PAC ID: 7719932540 Enrollment ID: O20050315000500 |
Entity Name | Chanel V. Tazza, Mental Health Counseling, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386114692 PECOS PAC ID: 4688015936 Enrollment ID: O20240517000073 |
Mailing Address | Practice Location Address |
---|---|
Chanel Viviana Tazza, LMHC 63 Scudders Ln, Glen Head, NY 11545-1535 Ph: (646) 456-0819 | Chanel Viviana Tazza, LMHC 5913 Grove St, Ridgewood, NY 11385-2647 Ph: (646) 456-0819 |
Anna Dec, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 Fresh Pond Rd, Apt.2f, Ridgewood, NY 11385 Phone: 917-600-2158 | |
Jeannett Zuniga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 Harman St, Ridgewood, NY 11385 Phone: 929-327-0141 | |
Mrs. Nino Tevdorashvili, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21-05 Linden St. Suite-2d, Ridgewood, NY 11385 Phone: 917-251-7437 | |
Ryan Tylon-elijah Fields, MHC, MPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5913 Grove St, Ridgewood, NY 11385 Phone: 718-506-5457 | |
Francesca Guerriero, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 Onderdonk Ave Apt 2r, Ridgewood, NY 11385 Phone: 917-463-9834 | |
Ms. Suzanne Eng, MA, ATR-BC, LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 Phone: 646-535-0364 |