| Adirondack Equine Assisted Psychotherapy, Lcsw | |
|
46 Reynolds Rd Fort Edward NY 12828-9244 | |
| (518) 573-0239 | |
| Not Available |
| Full Name | Adirondack Equine Assisted Psychotherapy, Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 46 Reynolds Rd, Fort Edward, New York |
| Authorized Official Name and Position | Shannon Brock Myles (OWNER) |
| Authorized Official Contact | 5185730239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Equine Assisted Psychotherapy, Lcsw 10 Foxhurst Dr Queensbury NY 12804-8488 Ph: (518) 573-0239 | Adirondack Equine Assisted Psychotherapy, Lcsw 46 Reynolds Rd Fort Edward NY 12828-9244 Ph: (518) 573-0239 |
| NPI Number | 1275961237 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275961237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 078314 (New York) | Primary |
Hudson Headwaters Health Network Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 48 East St, Fort Edward, NY 12828 Phone: 518-824-8630 Fax: 518-824-2302 |