| Open Door Mental Health Counseling P.c. | |
|
940 Roanoke Ave Riverhead NY 11901-2749 | |
| (631) 680-7005 | |
| Not Available |
| Full Name | Open Door Mental Health Counseling P.c. |
|---|---|
| Speciality | Counselor |
| Location | 940 Roanoke Ave, Riverhead, New York |
| Authorized Official Name and Position | Emily Cover (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6172296149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Mental Health Counseling P.c. 940 Roanoke Ave Riverhead NY 11901-2749 Ph: (631) 680-7005 | Open Door Mental Health Counseling P.c. 940 Roanoke Ave Riverhead NY 11901-2749 Ph: (631) 680-7005 |
| NPI Number | 1992353270 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 6406398585 |
|---|---|
| Medicare Enrollment ID | O20240604002936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992353270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Saadia Safian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417429671 PECOS PAC ID: 4082156179 Enrollment ID: I20240604003279 |
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