Empower Yourself Mental Health Counseling Services Pc | |
4902 Queens Blvd Ste 2 Woodside NY 11377-4445 | |
(646) 656-0164 | |
Not Available |
Full Name | Empower Yourself Mental Health Counseling Services Pc |
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Speciality | Counselor |
Location | 4902 Queens Blvd Ste 2, Woodside, New York |
Authorized Official Name and Position | Laura Marilyn Soriano (PRESIDENT) |
Authorized Official Contact | 6462728058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empower Yourself Mental Health Counseling Services Pc 7714 113th St Apt 2r Forest Hills NY 11375-7111 Ph: (646) 272-8058 | Empower Yourself Mental Health Counseling Services Pc 4902 Queens Blvd Ste 2 Woodside NY 11377-4445 Ph: (646) 656-0164 |
NPI Number | 1366095945 |
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Provider Enumeration Date | 07/22/2019 |
Last Update Date | 07/30/2019 |
Medicare PECOS PAC ID | 6901330042 |
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Medicare Enrollment ID | O20241112001098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366095945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Laura Marilyn Soriano |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497215545 PECOS PAC ID: 8628502770 Enrollment ID: I20241120001906 |
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