Laura Tice, Lcsw R | |
270 River St Ste 202b Troy NY 12180-0806 | |
(518) 573-8743 | |
(518) 244-5292 |
Full Name | Laura Tice, Lcsw R |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 270 River St Ste 202b, Troy, New York |
Authorized Official Name and Position | Laura Tice (OWNER) |
Authorized Official Contact | 5185738743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laura Tice, Lcsw R 270 River St Ste 202b Troy NY 12180-0806 Ph: (518) 573-8743 | Laura Tice, Lcsw R 270 River St Ste 202b Troy NY 12180-0806 Ph: (518) 573-8743 |
NPI Number | 1306449525 |
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Provider Enumeration Date | 11/19/2020 |
Last Update Date | 11/19/2020 |
Certification Date | 11/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306449525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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