| Orchard Blue Counseling Services Lcsw, Pllc | |
|
11929 80th Rd Kew Gardens NY 11415-1105 | |
| (917) 922-4538 | |
| (929) 529-7453 |
| Full Name | Orchard Blue Counseling Services Lcsw, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11929 80th Rd, Kew Gardens, New York |
| Authorized Official Name and Position | Cerene L Prince (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 9179224538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Blue Counseling Services Lcsw, Pllc 18915 119th Ave Saint Albans NY 11412-3322 Ph: (917) 922-4538 | Orchard Blue Counseling Services Lcsw, Pllc 11929 80th Rd Kew Gardens NY 11415-1105 Ph: (917) 922-4538 |
| NPI Number | 1831789957 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831789957 | NPI | - | NPPES |
| 1700397494 | Other | NY | BEACON HEALTH OPTIONS |
| 1700397494 | Other | NY | CIGNA |
| 05971531 | Medicaid | NY | |
| 1700397494 | Other | NY | OPTUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
New York State Neuropsychological State Of Mind Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8460 123rd St, Kew Gardens, NY 11415 Phone: 718-441-0166 Fax: 718-805-2054 | |
Senior Adult Services Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8245 Grenfell St, Kew Gardens, NY 11415 Phone: 212-983-0331 | |
Centered Psychiatry Of New Mexico Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8300 Talbot St Apt 2b, Kew Gardens, NY 11415 Phone: 718-440-7867 Fax: 505-930-5398 | |
Nyconfidential Behavioral Medicine Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11929 80th Rd, Kew Gardens, NY 11415 Phone: 917-992-7628 | |
Wellness Tree Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11929 80th Rd, Kew Gardens, NY 11415 Phone: 347-761-7325 | |
Psych Choices Of The Delaware Valley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8300 Talbot St Apt 2b, Kew Gardens, NY 11415 Phone: 718-440-7867 Fax: 505-930-5398 | |
Comprehensive Consultation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8460 123rd St, Kew Gardens, NY 11415 Phone: 718-441-0166 Fax: 718-805-2054 |