| Branches Of Growth Mental Health Counseling, Pllc | |
|
1 Adler Dr Ste 5 East Syracuse NY 13057-1223 | |
| (315) 415-0308 | |
| Not Available |
| Full Name | Branches Of Growth Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Adler Dr Ste 5, East Syracuse, New York |
| Authorized Official Name and Position | Katherine Sargent Hyatt (OWNER) |
| Authorized Official Contact | 3154150308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Growth Mental Health Counseling, Pllc 113 Church St N Syracuse NY 13212-2370 Ph: (315) 415-0308 | Branches Of Growth Mental Health Counseling, Pllc 1 Adler Dr Ste 5 East Syracuse NY 13057-1223 Ph: (315) 415-0308 |
| NPI Number | 1750845749 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750845749 | NPI | - | NPPES |
| 07661136 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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