| Life Transitions Counseling Lcsw, Pllc | |
|
2 Pudding Ln Dix Hills NY 11746-6118 | |
| (631) 432-8424 | |
| Not Available |
| Full Name | Life Transitions Counseling Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2 Pudding Ln, Dix Hills, New York |
| Authorized Official Name and Position | Ivy Firouztale (MEMBER) |
| Authorized Official Contact | 6314328424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transitions Counseling Lcsw, Pllc 2 Pudding Ln Dix Hills NY 11746-6118 Ph: (631) 432-8424 | Life Transitions Counseling Lcsw, Pllc 2 Pudding Ln Dix Hills NY 11746-6118 Ph: (631) 432-8424 |
| NPI Number | 1518367457 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518367457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 078295-1 (New York) | Primary |
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