Blossoming Cherry Mental Health Counseling Services P.c. | |
213 Hempstead Ave Unit A Lynbrook NY 11563-1656 | |
(516) 256-9523 | |
Not Available |
Full Name | Blossoming Cherry Mental Health Counseling Services P.c. |
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Speciality | Counselor |
Location | 213 Hempstead Ave Unit A, Lynbrook, New York |
Authorized Official Name and Position | Jennifer Derri (OWNER) |
Authorized Official Contact | 5162569523 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blossoming Cherry Mental Health Counseling Services P.c. 213 Hempstead Ave Unit A Lynbrook NY 11563-1656 Ph: (516) 256-9523 | Blossoming Cherry Mental Health Counseling Services P.c. 213 Hempstead Ave Unit A Lynbrook NY 11563-1656 Ph: (516) 256-9523 |
NPI Number | 1689238495 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 03/31/2023 |
Certification Date | 03/31/2023 |
Medicare PECOS PAC ID | 3072054790 |
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Medicare Enrollment ID | O20240923000650 |
Identifier | Type | State | Issuer |
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1689238495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jennifer Lynn Derri |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124482963 PECOS PAC ID: 4981145604 Enrollment ID: I20240923000730 |
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