| Brooke Williams Mental Health Counseling Pc | |
|
321 Forest Ave Massapequa NY 11758-5746 | |
| (516) 900-7084 | |
| Not Available |
| Full Name | Brooke Williams Mental Health Counseling Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 321 Forest Ave, Massapequa, New York |
| Authorized Official Name and Position | Brooke Williams (OWNER) |
| Authorized Official Contact | 6319024626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Williams Mental Health Counseling Pc 321 Forest Ave Massapequa NY 11758-5746 Ph: (631) 902-4626 | Brooke Williams Mental Health Counseling Pc 321 Forest Ave Massapequa NY 11758-5746 Ph: (516) 900-7084 |
| NPI Number | 1376201889 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Medicare PECOS PAC ID | 2668818212 |
|---|---|
| Medicare Enrollment ID | O20240306001682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376201889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brooke Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972058014 PECOS PAC ID: 4486090032 Enrollment ID: I20240306001770 |
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