| Mental Health Counseling Of Staten Island, Pc | |
|
2460 Victory Blvd Staten Island NY 10314-6612 | |
| (347) 733-9964 | |
| (212) 877-5504 |
| Full Name | Mental Health Counseling Of Staten Island, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2460 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Lucia Falcone (OWNER) |
| Authorized Official Contact | 3477339964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Counseling Of Staten Island, Pc 2460 Victory Blvd Staten Island NY 10314-6612 Ph: (347) 733-9964 | Mental Health Counseling Of Staten Island, Pc 2460 Victory Blvd Staten Island NY 10314-6612 Ph: (347) 733-9964 |
| NPI Number | 1447786751 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447786751 | NPI | - | NPPES |
| 007543 | Other | NY | LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 007543 (New York) | Primary |
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