| Mind Works Nyc Mental Health Counseling P C | |
|
1214 31st Ave # Cf Astoria NY 11106-4833 | |
| (347) 403-3420 | |
| Not Available |
| Full Name | Mind Works Nyc Mental Health Counseling P C |
|---|---|
| Speciality | Counselor |
| Location | 1214 31st Ave # Cf, Astoria, New York |
| Authorized Official Name and Position | Andree Decastro (CEO) |
| Authorized Official Contact | 3474033420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Works Nyc Mental Health Counseling P C 6904 224th St Oakland Gardens NY 11364-3028 Ph: (917) 714-6412 | Mind Works Nyc Mental Health Counseling P C 1214 31st Ave # Cf Astoria NY 11106-4833 Ph: (347) 403-3420 |
| NPI Number | 1821641234 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 4385083260 |
|---|---|
| Medicare Enrollment ID | O20240412000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821641234 | NPI | - | NPPES |
| 1497210611 | Other | NY | 1497210611 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Andree Michel Decastro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497210611 PECOS PAC ID: 5294174173 Enrollment ID: I20240412000525 |
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