| Gonell Psychotherapy Services, Lcsw, Pc | |
|
4250 Hempstead Tpke Ste 12 Bethpage NY 11714-5707 | |
| (516) 731-0683 | |
| Not Available |
| Full Name | Gonell Psychotherapy Services, Lcsw, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4250 Hempstead Tpke Ste 12, Bethpage, New York |
| Authorized Official Name and Position | Anny E Gonell (PROPRIATOR) |
| Authorized Official Contact | 5167310683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonell Psychotherapy Services, Lcsw, Pc 4250 Hempstead Tpke Ste 12 Bethpage NY 11714-5707 Ph: (516) 731-0683 | Gonell Psychotherapy Services, Lcsw, Pc 4250 Hempstead Tpke Ste 12 Bethpage NY 11714-5707 Ph: (516) 731-0683 |
| NPI Number | 1962993121 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962993121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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