| Grace Colasacco, Licensed Mental Health Counselor, Pllc | |
|
138 S 1st St Suite 115 Lindenhurst NY 11757-4930 | |
| (631) 741-6699 | |
| Not Available |
| Full Name | Grace Colasacco, Licensed Mental Health Counselor, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 138 S 1st St, Lindenhurst, New York |
| Authorized Official Name and Position | Grace Colasacco (OWNER) |
| Authorized Official Contact | 6317416699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Colasacco, Licensed Mental Health Counselor, Pllc 310 Granada Pkwy Lindenhurst NY 11757-6303 Ph: (516) 647-6064 | Grace Colasacco, Licensed Mental Health Counselor, Pllc 138 S 1st St Suite 115 Lindenhurst NY 11757-4930 Ph: (631) 741-6699 |
| NPI Number | 1356720627 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356720627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006191 (New York) | Primary |
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