| Mind Body Mental Health Counseling Services Pllc | |
|
1416 48th St Brooklyn NY 11219-3243 | |
| (917) 474-5034 | |
| Not Available |
| Full Name | Mind Body Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1416 48th St, Brooklyn, New York |
| Authorized Official Name and Position | Menachem M Kiwak (OWNER) |
| Authorized Official Contact | 9174745034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Mental Health Counseling Services Pllc 9 Knight Dr Jackson NJ 08527-5180 Ph: (917) 474-5034 | Mind Body Mental Health Counseling Services Pllc 1416 48th St Brooklyn NY 11219-3243 Ph: (917) 474-5034 |
| NPI Number | 1083495261 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 0547606089 |
|---|---|
| Medicare Enrollment ID | O20240307000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083495261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Menachem Kiwak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861850430 PECOS PAC ID: 1456797992 Enrollment ID: I20240307000764 |
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