| Life Centers Usa | |
|
1524 Central Ave Colonie NY 12205-5065 | |
| (518) 669-6133 | |
| (518) 869-2122 |
| Full Name | Life Centers Usa |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1524 Central Ave, Colonie, New York |
| Authorized Official Name and Position | Debra A Hendron (OWNER) |
| Authorized Official Contact | 5186696133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Centers Usa 19 Wilbur St Colonie NY 12205-4555 Ph: (518) 669-6133 | Life Centers Usa 1524 Central Ave Colonie NY 12205-5065 Ph: (518) 669-6133 |
| NPI Number | 1720391295 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720391295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19061 (New York) | Primary |
| 101YP1600X | Counselor - Pastoral | (California) | Secondary |
Psychopharmacology Consultants Of Albany, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Wolf Rd, Suite 5, Colonie, NY 12205 Phone: 518-458-2481 Fax: 518-489-4149 |