| Lifted Heart Mental Health Counseling, Pllc | |
|
820 State Route 9 Unit 4720 Queensbury NY 12804-5425 | |
| (518) 480-7337 | |
| Not Available |
| Full Name | Lifted Heart Mental Health Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 820 State Route 9 Unit 4720, Queensbury, New York |
| Authorized Official Name and Position | Tara Booth (THERAPIST/OWNDER) |
| Authorized Official Contact | 5184807337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifted Heart Mental Health Counseling, Pllc 820 State Route 9 Unit 4720 Queensbury NY 12804-5425 Ph: (518) 480-7337 | Lifted Heart Mental Health Counseling, Pllc 820 State Route 9 Unit 4720 Queensbury NY 12804-5425 Ph: (518) 480-7337 |
| NPI Number | 1790440709 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790440709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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