| Louise Emanuel Lcsw Pllc | |
|
17022 130th Ave Apt 11h Jamaica NY 11434-3237 | |
| (347) 553-8949 | |
| Not Available |
| Full Name | Louise Emanuel Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17022 130th Ave Apt 11h, Jamaica, New York |
| Authorized Official Name and Position | Louise Emanuel (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3475538949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louise Emanuel Lcsw Pllc 17022 130th Ave Apt 11h Jamaica NY 11434-3237 Ph: (347) 553-8949 | Louise Emanuel Lcsw Pllc 17022 130th Ave Apt 11h Jamaica NY 11434-3237 Ph: (347) 553-8949 |
| NPI Number | 1487328175 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487328175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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