| Pearsall Counseling Services Lcsw | |
|
105 Pearsall Ave Freeport NY 11520-2618 | |
| (516) 574-1018 | |
| Not Available |
| Full Name | Pearsall Counseling Services Lcsw |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 105 Pearsall Ave, Freeport, New York |
| Authorized Official Name and Position | Megan Marie Conti (OWNER) |
| Authorized Official Contact | 5165741018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearsall Counseling Services Lcsw 105 Pearsall Ave Freeport NY 11520-2618 Ph: (516) 574-1018 | Pearsall Counseling Services Lcsw 105 Pearsall Ave Freeport NY 11520-2618 Ph: (516) 574-1018 |
| NPI Number | 1205579448 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Medicare PECOS PAC ID | 3476928045 |
|---|---|
| Medicare Enrollment ID | O20230412002850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205579448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Megan Marie Conti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851600894 PECOS PAC ID: 5991015380 Enrollment ID: I20151116001365 |
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