| Life Stages Counseling | |
|
14 Candlewood Path Dix Hills NY 11746-5304 | |
| (631) 327-2508 | |
| Not Available |
| Full Name | Life Stages Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14 Candlewood Path, Dix Hills, New York |
| Authorized Official Name and Position | Teresa Grella-hillebrand (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 6313272508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stages Counseling 14 Candlewood Path Dix Hills NY 11746-5304 Ph: (631) 327-2508 | Life Stages Counseling 14 Candlewood Path Dix Hills NY 11746-5304 Ph: (631) 327-2508 |
| NPI Number | 1144760505 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144760505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000155-1 (New York) | Primary |
Life Stages Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Candlewood Path, Dix Hills, NY 11746 Phone: 516-617-2635 Fax: 631-462-6499 | |
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Life Stages Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Candlewood Path, Dix Hills, NY 11746 Phone: 516-617-2635 Fax: 631-462-6499 | |
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