Diana Marie Graham, | |
102 Pilling St, Brooklyn, NY 11207-1610 | |
(718) 602-1000 | |
Not Available |
Full Name | Diana Marie Graham |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 102 Pilling St, Brooklyn, 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 |
---|---|---|---|
1841720505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Mental Wellness Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780235143 PECOS PAC ID: 6103156716 Enrollment ID: O20190925000623 |
Mailing Address | Practice Location Address |
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Diana Marie Graham, 68 Van Reypen St Apt 303, Jersey City, NJ 07306-4429 Ph: () - | Diana Marie Graham, 102 Pilling St, Brooklyn, NY 11207-1610 Ph: (718) 602-1000 |
Mrs. Agustina Fougere, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Flatbush Ave, Brooklyn Center For Psychotherapy, Brooklyn, NY 11217 Phone: 718-622-2000 | |
Ms. Valeria Villaran, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Flatbush Ave, Brooklyn, NY 11217 Phone: 718-622-2000 Fax: 718-398-3328 | |
Chava Rabinowitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925a Kings Hwy, Brooklyn, NY 11229 Phone: 718-382-0045 Fax: 718-859-7157 | |
Mr. Robert Stanley Burch, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 E 105th St, Canarsie Multi Service Center, Brooklyn, NY 11236 Phone: 718-307-3018 | |
Ms. Danielle Krizni, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 E 105th St, Brooklyn, NY 11236 Phone: 718-307-3000 Fax: 718-307-3020 | |
Camille Armando, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Remsen St, Brooklyn, NY 11201 Phone: 718-342-6700 | |
Grimaldi Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coney Island Ave, Brooklyn, NY 11223 Phone: 718-676-4211 |