| Gabriel Ml Mental Health Counseling Pc | |
|
6350 Pleasantview St Middle Village NY 11379-1844 | |
| (917) 604-5592 | |
| (718) 894-0285 |
| Full Name | Gabriel Ml Mental Health Counseling Pc |
|---|---|
| Speciality | Counselor |
| Location | 6350 Pleasantview St, Middle Village, New York |
| Authorized Official Name and Position | Mary Louise Lara Gabriel (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9176045592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Ml Mental Health Counseling Pc 6350 Pleasantview St Middle Village NY 11379-1844 Ph: (917) 604-5592 | Gabriel Ml Mental Health Counseling Pc 6350 Pleasantview St Middle Village NY 11379-1844 Ph: (917) 604-5592 |
| NPI Number | 1700640489 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 1254773757 |
|---|---|
| Medicare Enrollment ID | O20240617003044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700640489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Louise Lara Gabriel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063770998 PECOS PAC ID: 0345682845 Enrollment ID: I20240530000078 |
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