Personalize Your Therapy, Lcsw, Pllc | |
1500 Astor Ave Fl 2 Bronx NY 10469-5900 | |
(347) 601-4670 | |
(929) 543-5678 |
Full Name | Personalize Your Therapy, Lcsw, Pllc |
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Speciality | Clinic/Center |
Location | 1500 Astor Ave Fl 2, Bronx, New York |
Authorized Official Name and Position | Paula Mcmillan-perez (FOUNDER/CLINICAL DIRECTOR) |
Authorized Official Contact | 3476014670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Personalize Your Therapy, Lcsw, Pllc 1451 West Ave # 5082 Bronx NY 10462-7304 Ph: (347) 601-4670 | Personalize Your Therapy, Lcsw, Pllc 1500 Astor Ave Fl 2 Bronx NY 10469-5900 Ph: (347) 601-4670 |
NPI Number | 1528764677 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 01/28/2024 |
Certification Date | 01/28/2024 |
Medicare PECOS PAC ID | 0648622092 |
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Medicare Enrollment ID | O20240122001301 |
Identifier | Type | State | Issuer |
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1528764677 | NPI | - | NPPES |
Provider Name | Paula Mcmillan-perez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366716748 PECOS PAC ID: 1557713906 Enrollment ID: I20240122001616 |
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