| Feel Alive Therapy Lcsw P.c. | |
|
40 W 4th St Apt 200 Patchogue NY 11772-2137 | |
| (631) 872-6084 | |
| Not Available |
| Full Name | Feel Alive Therapy Lcsw P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 W 4th St Apt 200, Patchogue, New York |
| Authorized Official Name and Position | Felicia Petrone (LCSW/PRESIDENT) |
| Authorized Official Contact | 6318726084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Feel Alive Therapy Lcsw P.c. 40 W 4th St Apt 200 Patchogue NY 11772-2137 Ph: () - | Feel Alive Therapy Lcsw P.c. 40 W 4th St Apt 200 Patchogue NY 11772-2137 Ph: (631) 872-6084 |
| NPI Number | 1265017495 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265017495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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