| Mindspace Mental Health Counseling Pllc | |
|
4630 Bell Blvd Bayside NY 11361-3332 | |
| (516) 473-3627 | |
| Not Available |
| Full Name | Mindspace Mental Health Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4630 Bell Blvd, Bayside, New York |
| Authorized Official Name and Position | Grace Polanco (OWNER) |
| Authorized Official Contact | 5164733627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindspace Mental Health Counseling Pllc 4630 Bell Blvd Bayside NY 11361-3332 Ph: (516) 473-3627 | Mindspace Mental Health Counseling Pllc 4630 Bell Blvd Bayside NY 11361-3332 Ph: (516) 473-3627 |
| NPI Number | 1154147510 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154147510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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