Le Mental Health Counseling Pllc | |
4322 Queens St Apt 601 Long Island City NY 11101-7926 | |
(917) 396-2329 | |
Not Available |
Full Name | Le Mental Health Counseling Pllc |
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Speciality | Counselor |
Location | 4322 Queens St Apt 601, Long Island City, New York |
Authorized Official Name and Position | Jonathan A Le (FOUNDER, COUNSELOR) |
Authorized Official Contact | 9173962329 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Le Mental Health Counseling Pllc 4322 Queens St Apt 601 Long Island City NY 11101-7926 Ph: (917) 396-2329 | Le Mental Health Counseling Pllc 4322 Queens St Apt 601 Long Island City NY 11101-7926 Ph: (917) 396-2329 |
NPI Number | 1427770155 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Certification Date | 09/19/2022 |
Medicare PECOS PAC ID | 2668818642 |
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Medicare Enrollment ID | O20240313000429 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427770155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jonathan A Le |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184077448 PECOS PAC ID: 3577909555 Enrollment ID: I20240313000637 |
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