| Cooper Mental Health Counseling Pllc | |
|
100 Broadway # 331a Brooklyn NY 11249-6044 | |
| (917) 714-3257 | |
| Not Available |
| Full Name | Cooper Mental Health Counseling Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 100 Broadway # 331a, Brooklyn, New York |
| Authorized Official Name and Position | Marty Aaron Cooper (OWNER) |
| Authorized Official Contact | 9177143257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Mental Health Counseling Pllc 100a Broadway # 331 Brooklyn NY 11249-6127 Ph: (917) 714-3257 | Cooper Mental Health Counseling Pllc 100 Broadway # 331a Brooklyn NY 11249-6044 Ph: (917) 714-3257 |
| NPI Number | 1356684666 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 6800254434 |
|---|---|
| Medicare Enrollment ID | O20230614001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356684666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Marty Aaron Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497088934 PECOS PAC ID: 7618335241 Enrollment ID: I20230614001368 |
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