One Mind Wellness And Psychotherapy Services | |
165 N Village Ave Ste 207 Rockville Centre NY 11570-3701 | |
(516) 874-6374 | |
Not Available |
Full Name | One Mind Wellness And Psychotherapy Services |
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Speciality | Clinic/Center |
Location | 165 N Village Ave Ste 207, Rockville Centre, New York |
Authorized Official Name and Position | Cherie Y Dortch (PSYCHOTHERAPIST) |
Authorized Official Contact | 5168746374 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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One Mind Wellness And Psychotherapy Services 20 Wendell St Apt 19e Hempstead NY 11550-1214 Ph: () - | One Mind Wellness And Psychotherapy Services 165 N Village Ave Ste 207 Rockville Centre NY 11570-3701 Ph: (516) 874-6374 |
NPI Number | 1083245633 |
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Provider Enumeration Date | 02/03/2020 |
Last Update Date | 02/23/2021 |
Certification Date | 02/22/2021 |
Medicare PECOS PAC ID | 0446659817 |
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Medicare Enrollment ID | O20210604002269 |
Identifier | Type | State | Issuer |
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1083245633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Cherie Dortch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629301783 PECOS PAC ID: 2264657519 Enrollment ID: I20140701000642 |
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