Laura Carolina Pena, LMHC | |
2976 Northern Blvd, Long Island City, NY 11101-2822 | |
(347) 510-3696 | |
Not Available |
Full Name | Laura Carolina Pena |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2976 Northern Blvd, Long Island City, 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 |
---|---|---|---|
1780226928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | P103143 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 011824 (New York) | Primary |
Entity Name | The Fortune Society Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235357237 PECOS PAC ID: 0042479263 Enrollment ID: O20120307000821 |
Mailing Address | Practice Location Address |
---|---|
Laura Carolina Pena, LMHC 314 Arcadia Ave, Uniondale, NY 11553-1759 Ph: (516) 770-9759 | Laura Carolina Pena, LMHC 2976 Northern Blvd, Long Island City, NY 11101-2822 Ph: (347) 510-3696 |
Clifford William Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2976 Northern Blvd., Long Island City, NY 11101 Phone: 718-517-7937 Fax: 347-510-3457 | |
Jenny Liao, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4322 Queens St Apt 601, Long Island City, NY 11101 Phone: 917-396-2329 | |
Ashley Pichardo, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4470 21st St, Long Island City, NY 11101 Phone: 917-522-1418 | |
Ariel Orlando Ramos, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2976 Northern Blvd, Long Island City, NY 11101 Phone: 347-510-3622 | |
Analia Guillen, MENTAL HEALTH COUNSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 3046 Northern Blvd, Long Island City, NY 11101 Phone: 718-424-6191 Fax: 718-303-4320 | |
Erin Humbaugh, BC-DMT, LCAT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4705 Center Blvd, 1514, Long Island City, NY 11109 Phone: 614-571-0279 | |
Hajra Munir, MA, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4322 Queens St, Apt 601, Long Island City, NY 11101 Phone: 917-396-2329 |