| Divine Counseling And Wellness Inc | |
|
5020 Route 9w Suite 104 Newburgh NY 12550-7900 | |
| (845) 237-2862 | |
| Not Available |
| Full Name | Divine Counseling And Wellness Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5020 Route 9w, Newburgh, New York |
| Authorized Official Name and Position | Tricia A Holness (THERAPIST) |
| Authorized Official Contact | 8454766613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Counseling And Wellness Inc 301 Balsam Dr New Windsor NY 12553-4755 Ph: (845) 476-6613 | Divine Counseling And Wellness Inc 5020 Route 9w Suite 104 Newburgh NY 12550-7900 Ph: (845) 237-2862 |
| NPI Number | 1124574991 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 1052652724 |
|---|---|
| Medicare Enrollment ID | O20190405000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124574991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0798201 (New York) | Primary |
| Provider Name | Tricia A Holness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336483031 PECOS PAC ID: 3375788326 Enrollment ID: I20130325000000 |
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