| Mind Muse Therapeutic Consulting Services Lcsw Pllc | |
|
46 Gramatan Ave # 1077 Mount Vernon NY 10550-1306 | |
| (650) 392-5921 | |
| Not Available |
| Full Name | Mind Muse Therapeutic Consulting Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 46 Gramatan Ave # 1077, Mount Vernon, New York |
| Authorized Official Name and Position | Judy Fernandez (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6503925921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Muse Therapeutic Consulting Services Lcsw Pllc 46 Gramatan Ave # 1077 Mount Vernon NY 10550-1306 Ph: () - | Mind Muse Therapeutic Consulting Services Lcsw Pllc 46 Gramatan Ave # 1077 Mount Vernon NY 10550-1306 Ph: (650) 392-5921 |
| NPI Number | 1699420687 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699420687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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