| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 188 S 3rd St, Fulton, New York |
| Authorized Official Name and Position | Tiffany Jane Gentile (LMHC, DIRECTOR) |
| Authorized Official Contact | 3152075435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
188 S 3rd St Fulton NY 13069-1801 Ph: (315) 207-5435 | 188 S 3rd St Fulton NY 13069-1801 Ph: (315) 207-5435 |
| NPI Number | 1609265271 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609265271 | NPI | - | NPPES |
| 837827415 | Other | NY | SUNY ADJUNCT PROFESSOR REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | 837827415 (New York) | Secondary |
Peace Of Mind Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 W 1st St S, Fulton, NY 13069 Phone: 315-593-4847 Fax: 315-752-0993 | |
Upstate Virtual Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Oneida St, Fulton, NY 13069 Phone: 315-333-2234 | |
Liberty Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 County Route 57, Fulton, NY 13069 Phone: 315-598-4642 Fax: 315-592-7978 | |
Arise Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Schuyler St, Suite 2, Fulton, NY 13069 Phone: 315-887-5156 |