| Camelot Counseling Centers | |
|
263 Port Richmond Avenue Staten Island NY 10302 | |
| (718) 981-8117 | |
| (718) 981-8309 |
| Full Name | Camelot Counseling Centers |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 263 Port Richmond Avenue, Staten Island, New York |
| Authorized Official Name and Position | Luke J. Nasta (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7183565100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camelot Counseling Centers 4442 Arthur Kill Rd Ste 4 Staten Island NY 10309-1321 Ph: (718) 356-5100 | Camelot Counseling Centers 263 Port Richmond Avenue Staten Island NY 10302 Ph: (718) 981-8117 |
| NPI Number | 1942359476 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942359476 | NPI | - | NPPES |
| 01292768 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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