| Alice Miriam Marjorie Woodson White, Lcsw, P.c. | |
|
249 Main St Ste 2 Setauket NY 11733-2919 | |
| (631) 675-9494 | |
| (631) 675-6410 |
| Full Name | Alice Miriam Marjorie Woodson White, Lcsw, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 249 Main St Ste 2, Setauket, New York |
| Authorized Official Name and Position | Alice Miriam Marjorie Woodson White (PRESIDENT) |
| Authorized Official Contact | 6313529735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Miriam Marjorie Woodson White, Lcsw, P.c. 101 Main St Unit 2381 Setauket NY 11733-6016 Ph: (631) 675-9494 | Alice Miriam Marjorie Woodson White, Lcsw, P.c. 249 Main St Ste 2 Setauket NY 11733-2919 Ph: (631) 675-9494 |
| NPI Number | 1447879622 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 08/04/2022 |
| Certification Date | 06/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447879622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Alice Woodson White Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Main St, Suite 5a, Setauket, NY 11733 Phone: 631-675-9494 | |
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