| Landing Meadows Mental Health Counseling Pllc | |
|
900 Walt Whitman Road Suite Ll 4 Melville NY 11747 | |
| (631) 350-2719 | |
| (631) 350-2725 |
| Full Name | Landing Meadows Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 900 Walt Whitman Road, Melville, New York |
| Authorized Official Name and Position | Shaun Dieterich (OWNER) |
| Authorized Official Contact | 5164080200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landing Meadows Mental Health Counseling Pllc 101 Clinton Ave Apt 1a Mineola NY 11501-2848 Ph: (516) 408-0200 | Landing Meadows Mental Health Counseling Pllc 900 Walt Whitman Road Suite Ll 4 Melville NY 11747 Ph: (631) 350-2719 |
| NPI Number | 1154989671 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154989671 | NPI | - | NPPES |
| 1235400599 | Other | NY | SHAUN DIETERICH LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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