Nourish Your Mind, Llc | |
360 State Route 17m Ste 4 Monroe NY 10950-3444 | |
(845) 547-0479 | |
(845) 547-0479 |
Full Name | Nourish Your Mind, Llc |
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Speciality | Social Worker - Clinical |
Location | 360 State Route 17m Ste 4, Monroe, New York |
Authorized Official Name and Position | Jessica C Sullivan (OWNER) |
Authorized Official Contact | 8455470479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nourish Your Mind, Llc 360 State Route 17m Ste 4 Monroe NY 10950-3444 Ph: (845) 547-0479 | Nourish Your Mind, Llc 360 State Route 17m Ste 4 Monroe NY 10950-3444 Ph: (845) 547-0479 |
NPI Number | 1649707555 |
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Provider Enumeration Date | 05/23/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1649707555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 085591 (New York) | Primary |
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