| Gold Coast Mental Health Counseling | |
|
191 Broadway Amityville NY 11701-2790 | |
| (631) 264-0058 | |
| Not Available |
| Full Name | Gold Coast Mental Health Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 191 Broadway, Amityville, New York |
| Authorized Official Name and Position | Stacey Katz (PRESIDENT) |
| Authorized Official Contact | 5169621017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Mental Health Counseling 191 Broadway Amityville NY 11701-2790 Ph: (516) 962-1017 | Gold Coast Mental Health Counseling 191 Broadway Amityville NY 11701-2790 Ph: (631) 264-0058 |
| NPI Number | 1619448115 |
|---|---|
| Provider Enumeration Date | 12/09/2018 |
| Last Update Date | 12/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619448115 | NPI | - | NPPES |
| 1720436199 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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