| Lutheran Counseling Center | |
|
132 Jefferson Ave Mineola NY 11501-2712 | |
| (516) 741-0994 | |
| (516) 742-5396 |
| Full Name | Lutheran Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 132 Jefferson Ave, Mineola, New York |
| Authorized Official Name and Position | Molly W. Blancke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5167410994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Counseling Center 132 Jefferson Ave Mineola NY 11501-2712 Ph: () - | Lutheran Counseling Center 132 Jefferson Ave Mineola NY 11501-2712 Ph: (516) 741-0994 |
| NPI Number | 1083759146 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0749608032 |
|---|---|
| Medicare Enrollment ID | O20200918000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083759146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Danita Omeir-wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023307006 PECOS PAC ID: 8426035205 Enrollment ID: I20140203001303 |
| Provider Name | Cynthia Y Terrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528212263 PECOS PAC ID: 8921435249 Enrollment ID: I20200227000163 |
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