| Create Your Balance Mental Health Counseling | |
|
25410 Northern Blvd Ste 211 Little Neck NY 11362-1415 | |
| (917) 239-5734 | |
| (718) 819-1148 |
| Full Name | Create Your Balance Mental Health Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25410 Northern Blvd Ste 211, Little Neck, New York |
| Authorized Official Name and Position | Jillian Lauren Decoursey (OWNER) |
| Authorized Official Contact | 9172395734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Your Balance Mental Health Counseling 25410 Northern Blvd Ste 211 Little Neck NY 11362-1415 Ph: (917) 239-5734 | Create Your Balance Mental Health Counseling 25410 Northern Blvd Ste 211 Little Neck NY 11362-1415 Ph: (917) 239-5734 |
| NPI Number | 1073274627 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073274627 | NPI | - | NPPES |
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