| Breaking Dawn Counseling And Consulting Llc | |
|
365 Bronx River Rd Apt 3f Yonkers NY 10704-3463 | |
| (718) 514-4615 | |
| Not Available |
| Full Name | Breaking Dawn Counseling And Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 365 Bronx River Rd Apt 3f, Yonkers, New York |
| Authorized Official Name and Position | Drusilla White (OWNER) |
| Authorized Official Contact | 7185144615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Dawn Counseling And Consulting Llc 365 Bronx River Rd Apt 3f Yonkers NY 10704-3463 Ph: () - | Breaking Dawn Counseling And Consulting Llc 365 Bronx River Rd Apt 3f Yonkers NY 10704-3463 Ph: (718) 514-4615 |
| NPI Number | 1548026206 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 8628419876 |
|---|---|
| Medicare Enrollment ID | O20240518000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548026206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Drusilla White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457817389 PECOS PAC ID: 8820469695 Enrollment ID: I20230116000267 |
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