| Empowered Life Mental Health Counseling Pc | |
|
340 Veterans Memorial Hwy Ste 2 Commack NY 11725-4300 | |
| (631) 355-8975 | |
| Not Available |
| Full Name | Empowered Life Mental Health Counseling Pc |
|---|---|
| Speciality | Counselor |
| Location | 340 Veterans Memorial Hwy Ste 2, Commack, New York |
| Authorized Official Name and Position | Lurdes Ramos-galarza (OWNER) |
| Authorized Official Contact | 6313558975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Life Mental Health Counseling Pc 116 Woodland St East Islip NY 11730-1920 Ph: (631) 355-8975 | Empowered Life Mental Health Counseling Pc 340 Veterans Memorial Hwy Ste 2 Commack NY 11725-4300 Ph: (631) 355-8975 |
| NPI Number | 1598435075 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/16/2021 |
| Medicare PECOS PAC ID | 4284071150 |
|---|---|
| Medicare Enrollment ID | O20240327002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598435075 | NPI | - | NPPES |
| 1720339898 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lurdes Ramos-galarza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720339898 PECOS PAC ID: 5193162063 Enrollment ID: I20240327002475 |
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