| Lifeskills Counseling Services Lcsw, Pc | |
|
4612 Queens Blvd 209a Sunnyside NY 11104-1740 | |
| (917) 597-3821 | |
| (516) 837-3073 |
| Full Name | Lifeskills Counseling Services Lcsw, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4612 Queens Blvd, Sunnyside, New York |
| Authorized Official Name and Position | Mariana C Lopez (PRESIDENT) |
| Authorized Official Contact | 9175973821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeskills Counseling Services Lcsw, Pc 372 Arkansas Dr Valley Stream NY 11580-1804 Ph: (917) 597-3821 | Lifeskills Counseling Services Lcsw, Pc 4612 Queens Blvd 209a Sunnyside NY 11104-1740 Ph: (917) 597-3821 |
| NPI Number | 1598153629 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Medicare PECOS PAC ID | 6800173535 |
|---|---|
| Medicare Enrollment ID | O20170508001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598153629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 081425 (New York) | Primary |
| Provider Name | Mariana C Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326177197 PECOS PAC ID: 7719264340 Enrollment ID: I20170510002593 |
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