| Ocean Waves Mental Health Counseling Pllc | |
|
16 Oakley Blvd Garnerville NY 10923-1860 | |
| (845) 608-1975 | |
| Not Available |
| Full Name | Ocean Waves Mental Health Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Oakley Blvd, Garnerville, New York |
| Authorized Official Name and Position | Amy Villanueva (OWNER) |
| Authorized Official Contact | 8456081975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Waves Mental Health Counseling Pllc 16 Oakley Blvd Garnerville NY 10923-1860 Ph: (845) 608-1975 | Ocean Waves Mental Health Counseling Pllc 16 Oakley Blvd Garnerville NY 10923-1860 Ph: (845) 608-1975 |
| NPI Number | 1801679881 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 2264872720 |
|---|---|
| Medicare Enrollment ID | O20240501000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801679881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amy Villanueva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649893967 PECOS PAC ID: 1456792118 Enrollment ID: I20240513000255 |
Staar Behavior Therapy And Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Hewitt St, Garnerville, NY 10923 Phone: 845-271-4490 |