| Formation Health Services Llc | |
|
8 Defeo Court Deer Park NY 11729 | |
| (631) 942-5429 | |
| Not Available |
| Full Name | Formation Health Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8 Defeo Court, Deer Park, New York |
| Authorized Official Name and Position | Meesha Chan (MEMBER) |
| Authorized Official Contact | 6319425429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Formation Health Services Llc 8 Defeo Court Deer Park NY 11729 Ph: (631) 942-5429 | Formation Health Services Llc 8 Defeo Court Deer Park NY 11729 Ph: (631) 942-5429 |
| NPI Number | 1881434561 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881434561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Meesha Chan Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Defeo Court, Deer Park, NY 11729 Phone: 631-942-5429 | |
Family And Children Enrichment Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 W 16th St, Deer Park, NY 11729 Phone: 631-747-5457 | |
Nepenthe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Brook Ave, Unit 29, Deer Park, NY 11729 Phone: 631-243-3056 Fax: 631-243-3132 | |
Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 770 Grand Blvd, Suite 17, Deer Park, NY 11729 Phone: 631-392-4357 Fax: 631-392-4358 | |
Conscious Mind Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Carlls Path Unit 497, Deer Park, NY 11729 Phone: 631-954-2287 Fax: 516-951-1135 | |
Dr Ulysses Jackson Licensed Mental Health Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Washington Ave, Deer Park, NY 11729 Phone: 631-767-9294 | |
Marta Teresa Silva, Psy.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Deer Park Ave Ste 7, Deer Park, NY 11729 Phone: 800-528-0135 Fax: 800-528-0135 |