| Kairos Counseling Lcsw Pllc | |
|
1870 Whitehaven Rd Grand Island NY 14072-1804 | |
| (716) 453-4839 | |
| Not Available |
| Full Name | Kairos Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1870 Whitehaven Rd, Grand Island, New York |
| Authorized Official Name and Position | Samantha Zimmermann (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7164534839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Counseling Lcsw Pllc 1870 Whitehaven Rd Grand Island NY 14072-1804 Ph: (716) 453-4839 | Kairos Counseling Lcsw Pllc 1870 Whitehaven Rd Grand Island NY 14072-1804 Ph: (716) 453-4839 |
| NPI Number | 1801640503 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801640503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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