| Blackbird Counseling, Lcsw, Pllc | |
|
1487 Cambridge Ave # A North Tonawanda NY 14120-1803 | |
| (716) 930-4137 | |
| Not Available |
| Full Name | Blackbird Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1487 Cambridge Ave # A, North Tonawanda, New York |
| Authorized Official Name and Position | Erin J Fritz (PRESIDENT) |
| Authorized Official Contact | 7169304137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackbird Counseling, Lcsw, Pllc 1487 Cambridge Ave # A North Tonawanda NY 14120-1803 Ph: (716) 930-4137 | Blackbird Counseling, Lcsw, Pllc 1487 Cambridge Ave # A North Tonawanda NY 14120-1803 Ph: (716) 930-4137 |
| NPI Number | 1437739224 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 2264841352 |
|---|---|
| Medicare Enrollment ID | O20210430000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437739224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Erin J Fritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083167084 PECOS PAC ID: 9335578947 Enrollment ID: I20200402002282 |
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