| New York Counseling For Change, Lcsw, Pllc | |
|
3720 74th St 3rd Floor Jackson Heights NY 11372-6338 | |
| (718) 424-6191 | |
| (718) 424-6192 |
| Full Name | New York Counseling For Change, Lcsw, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3720 74th St, Jackson Heights, New York |
| Authorized Official Name and Position | Larry Menzie (OWNER) |
| Authorized Official Contact | 9174943281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Counseling For Change, Lcsw, Pllc 3720 74th St 3rd Floor Jackson Heights NY 11372-6338 Ph: (718) 424-6191 | New York Counseling For Change, Lcsw, Pllc 3720 74th St 3rd Floor Jackson Heights NY 11372-6338 Ph: (718) 424-6191 |
| NPI Number | 1891084794 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891084794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 120211753 (New York) | Primary |
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