| Faith Hope Love Lcsw Pllc | |
|
63-44 Saunders Street Suite 102 Rego Park NY 11374 | |
| (347) 479-2552 | |
| Not Available |
| Full Name | Faith Hope Love Lcsw Pllc |
|---|---|
| Speciality | Counselor |
| Location | 63-44 Saunders Street, Rego Park, New York |
| Authorized Official Name and Position | Michelle Rodriguez (OWNER) |
| Authorized Official Contact | 7189097742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Hope Love Lcsw Pllc 15051 Village Road Unit 55a Jamaica NY 11432-1021 Ph: (718) 909-7742 | Faith Hope Love Lcsw Pllc 63-44 Saunders Street Suite 102 Rego Park NY 11374 Ph: (347) 479-2552 |
| NPI Number | 1487332672 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8527416353 |
|---|---|
| Medicare Enrollment ID | O20231204003247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487332672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972625572 PECOS PAC ID: 4284774431 Enrollment ID: I20091218000198 |
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