| Gentle Growth Therapeutic Services, Lcsw, Pllc | |
|
522 North State Road #202 Briarcliff Manor NY 10510 | |
| (914) 471-2632 | |
| (914) 944-0595 |
| Full Name | Gentle Growth Therapeutic Services, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 North State Road, Briarcliff Manor, New York |
| Authorized Official Name and Position | Letitia Victoria Coburn (OWNER) |
| Authorized Official Contact | 9144712632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Growth Therapeutic Services, Lcsw, Pllc 1872 Pleasantville Road, #129 Briarcliff Manor NY 10510 Ph: (914) 471-2632 | Gentle Growth Therapeutic Services, Lcsw, Pllc 522 North State Road #202 Briarcliff Manor NY 10510 Ph: (914) 471-2632 |
| NPI Number | 1093952301 |
|---|---|
| Provider Enumeration Date | 01/08/2009 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/11/2024 |
| Medicare PECOS PAC ID | 0345306270 |
|---|---|
| Medicare Enrollment ID | O20090302000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093952301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LCSW 052250 (New York) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Letitia V Coburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992865265 PECOS PAC ID: 4082770912 Enrollment ID: I20090302000407 |
Clementine Briarcliff Manor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Pine Rd, Briarcliff Manor, NY 10510 Phone: 310-589-8999 Fax: 310-589-9201 | |
Biro Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 Pleasantville Road, Same - Top Floor #3, Briarcliff Manor, NY 10510 Phone: 914-762-8538 Fax: 914-762-8538 | |
Nancy Cohen Genetic Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Juniper Pl, Briarcliff Manor, NY 10510 Phone: 914-623-8446 Fax: 914-478-7774 | |
Westchester Psychological Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 N State Rd Ste 129, Briarcliff Manor, NY 10510 Phone: 914-288-5259 | |
Zen Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 N State Rd, Briarcliff Manor, NY 10510 Phone: 914-877-1200 | |
Michael I Weintraub M D P C Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 325 S Highland Ave, Briarcliff Manor, NY 10510 Phone: 914-941-0788 Fax: 914-941-0562 |