| At The Crossroads Mental Health Counseling, Pc | |
|
621 Route 52 Beacon NY 12508-1235 | |
| (845) 527-6880 | |
| (845) 831-1579 |
| Full Name | At The Crossroads Mental Health Counseling, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 621 Route 52, Beacon, New York |
| Authorized Official Name and Position | Louise D Nielsen (PRESIDENT / SENIOR COUNSELOR) |
| Authorized Official Contact | 8455276880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At The Crossroads Mental Health Counseling, Pc 621 Route 52 Beacon NY 12508-1235 Ph: (845) 527-6880 | At The Crossroads Mental Health Counseling, Pc 621 Route 52 Beacon NY 12508-1235 Ph: (845) 527-6880 |
| NPI Number | 1164618690 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 06/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164618690 | NPI | - | NPPES |
| 004264 | Other | NY | LMHC LICENCE |
| 000031 | Other | NY | LMHC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000031 (New York) | Primary |
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