| Heart & Soul Community Counseling | |
|
17 Fordham Rd West Babylon NY 11704-5803 | |
| (631) 321-7011 | |
| (631) 669-8532 |
| Full Name | Heart & Soul Community Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 17 Fordham Rd, West Babylon, New York |
| Authorized Official Name and Position | Tina L Calabrese (PRESIDENT / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6313217011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Community Counseling 17 Fordham Rd West Babylon NY 11704-5803 Ph: (631) 321-7011 | Heart & Soul Community Counseling 17 Fordham Rd West Babylon NY 11704-5803 Ph: (631) 321-7011 |
| NPI Number | 1346223252 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 1951644657 |
|---|---|
| Medicare Enrollment ID | O20190521001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346223252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Tina L Calabrese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497737860 PECOS PAC ID: 7911056072 Enrollment ID: I20090520000010 |
| Provider Name | Mary T Byrnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942604947 PECOS PAC ID: 2264795392 Enrollment ID: I20180424000821 |
| Provider Name | Nicole Taub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688862 PECOS PAC ID: 9537598610 Enrollment ID: I20200413000835 |
| Provider Name | Alexander Finta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174127658 PECOS PAC ID: 2860886876 Enrollment ID: I20220308000493 |
| Provider Name | Patricia J Fogarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750750485 PECOS PAC ID: 8022486869 Enrollment ID: I20221129000238 |
| Provider Name | Dania Codada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882490 PECOS PAC ID: 2961840434 Enrollment ID: I20240403000168 |
| Provider Name | Francesca Michelle Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184149114 PECOS PAC ID: 6800237280 Enrollment ID: I20240516001300 |
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