| Neo Mental Health Counseling, Pc | |
|
4130 75th St Fl 1 Elmhurst NY 11373-1852 | |
| (347) 423-4548 | |
| Not Available |
| Full Name | Neo Mental Health Counseling, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4130 75th St Fl 1, Elmhurst, New York |
| Authorized Official Name and Position | Nicholas Ernesto Outeda (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3474234548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neo Mental Health Counseling, Pc 2046 Seagirt Blvd Apt 5-f Far Rockaway NY 11691-5950 Ph: (718) 868-0515 | Neo Mental Health Counseling, Pc 4130 75th St Fl 1 Elmhurst NY 11373-1852 Ph: (347) 423-4548 |
| NPI Number | 1376953117 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 05/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376953117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000758-1 (New York) | Primary |
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