| Hope & Resilience Llc | |
|
150 Broadhollow Rd Ste 310 Melville NY 11747-4987 | |
| (631) 897-7094 | |
| Not Available |
| Full Name | Hope & Resilience Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Broadhollow Rd Ste 310, Melville, New York |
| Authorized Official Name and Position | Kate Aileen Lindstadt (PMHNP) |
| Authorized Official Contact | 6318977094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope & Resilience Llc Po Box 220 Kings Park NY 11754-0220 Ph: () - | Hope & Resilience Llc 150 Broadhollow Rd Ste 310 Melville NY 11747-4987 Ph: (631) 897-7094 |
| NPI Number | 1073145744 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Medicare PECOS PAC ID | 8426437591 |
|---|---|
| Medicare Enrollment ID | O20220620001909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073145744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kate A Lindstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902245632 PECOS PAC ID: 1052555281 Enrollment ID: I20130910000289 |
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