| Endeavor Therapeutic Services Lcsw Pllc | |
|
900 Walt Whitman Rd Ste 206 Melville NY 11747-2215 | |
| (516) 445-6924 | |
| Not Available |
| Full Name | Endeavor Therapeutic Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 900 Walt Whitman Rd Ste 206, Melville, New York |
| Authorized Official Name and Position | Daniel A Selmer (FOUNDER/OWNER) |
| Authorized Official Contact | 5164456924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Therapeutic Services Lcsw Pllc 124 Sutton Dr Plainview NY 11803-1221 Ph: (516) 445-6924 | Endeavor Therapeutic Services Lcsw Pllc 900 Walt Whitman Rd Ste 206 Melville NY 11747-2215 Ph: (516) 445-6924 |
| NPI Number | 1720620370 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720620370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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