| Hope Within Counseling Services Lcsw Pllc | |
|
60-18 71st. Ave. Apt M Ridgewood NY 11385 | |
| (939) 218-1735 | |
| Not Available |
| Full Name | Hope Within Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 60-18 71st. Ave., Ridgewood, New York |
| Authorized Official Name and Position | David Obando (HR MANAGER) |
| Authorized Official Contact | 9392181735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Within Counseling Services Lcsw Pllc 60-18 71st. Ave. Apt M Ridgewood NY 11385 Ph: (939) 218-1735 | Hope Within Counseling Services Lcsw Pllc 60-18 71st. Ave. Apt M Ridgewood NY 11385 Ph: (939) 218-1735 |
| NPI Number | 1659048742 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Medicare PECOS PAC ID | 6709278419 |
|---|---|
| Medicare Enrollment ID | O20220108000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659048742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Arlene Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275081879 PECOS PAC ID: 9830520261 Enrollment ID: I20220124001287 |
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