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6539 Anthony Drive Suite A Victor NY 14564-1400 | |
| (585) 398-8835 | |
| (585) 398-7376 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6539 Anthony Drive, Victor, New York |
| Authorized Official Name and Position | Jeffrey S Young (PRESIDENT) |
| Authorized Official Contact | 5853988835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
175 Morgan Rd Scottsville NY 14546-9653 Ph: (585) 478-8199 | 6539 Anthony Drive Suite A Victor NY 14564-1400 Ph: (585) 398-8835 |
| NPI Number | 1700357126 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700357126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Elsbeth Ebenhoe Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 | |
Linda Harris, Lcsw- R Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 | |
Joan Chandler Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste 4, Victor, NY 14564 Phone: 585-398-8835 | |
Counseling Services Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 Fax: 585-398-7376 | |
Alyssa Hancock Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6539 Anthony Dr Ste A, Victor, NY 14564 Phone: 585-398-8835 | |
Psychological Self-praxis P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1039 Oak Ridge Dr, Victor, NY 14564 Phone: 310-227-9061 |