| Glow Mental Health Counseling P.c. | |
|
41 Risley Rd Patchogue NY 11772-1525 | |
| (631) 394-1891 | |
| Not Available |
| Full Name | Glow Mental Health Counseling P.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 41 Risley Rd, Patchogue, New York |
| Authorized Official Name and Position | Courtney Ocasio (OWNER) |
| Authorized Official Contact | 6313941891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glow Mental Health Counseling P.c. 41 Risley Rd Patchogue NY 11772-1525 Ph: () - | Glow Mental Health Counseling P.c. 41 Risley Rd Patchogue NY 11772-1525 Ph: (631) 394-1891 |
| NPI Number | 1548904220 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548904220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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