| New Wings Mental Health Counseling, P.c. | |
|
11 Madison Blvd Ste 17 Canastota NY 13032-3508 | |
| (315) 630-8314 | |
| (315) 907-6156 |
| Full Name | New Wings Mental Health Counseling, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11 Madison Blvd Ste 17, Canastota, New York |
| Authorized Official Name and Position | Jennifer Lynn Ayer (PRESIDENT) |
| Authorized Official Contact | 3156308314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Wings Mental Health Counseling, P.c. 112 Caroline St Canastota NY 13032-1205 Ph: (315) 630-8314 | New Wings Mental Health Counseling, P.c. 11 Madison Blvd Ste 17 Canastota NY 13032-3508 Ph: (315) 630-8314 |
| NPI Number | 1215747522 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215747522 | NPI | - | NPPES |
| 1386227684 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |