| East End Counseling Lcsw Pllc | |
|
3330 Noyac Rd Bldg D Sag Harbor NY 11963-1931 | |
| (631) 899-4575 | |
| Not Available |
| Full Name | East End Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3330 Noyac Rd Bldg D, Sag Harbor, New York |
| Authorized Official Name and Position | Katherine Mitchell (OWNER) |
| Authorized Official Contact | 6318994575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Counseling Lcsw Pllc 3330 Noyac Rd Bldg D Sag Harbor NY 11963-1931 Ph: (631) 899-4575 | East End Counseling Lcsw Pllc 3330 Noyac Rd Bldg D Sag Harbor NY 11963-1931 Ph: (631) 899-4575 |
| NPI Number | 1629646468 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629646468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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