| Blue Haven Confidential Counseling And Psychotherapy Services Lcsw P.c | |
|
6143 186th St Fresh Meadows NY 11365-2710 | |
| (347) 506-3986 | |
| (718) 475-2122 |
| Full Name | Blue Haven Confidential Counseling And Psychotherapy Services Lcsw P.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6143 186th St, Fresh Meadows, New York |
| Authorized Official Name and Position | Dorothy Frazier (DIRECTOR) |
| Authorized Official Contact | 7184153832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Haven Confidential Counseling And Psychotherapy Services Lcsw P.c 20417 Hillside Ave Suite 309 Hollis NY 11423-2213 Ph: (347) 506-3968 | Blue Haven Confidential Counseling And Psychotherapy Services Lcsw P.c 6143 186th St Fresh Meadows NY 11365-2710 Ph: (347) 506-3986 |
| NPI Number | 1881039022 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881039022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0383781 (New York) | Primary |
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