| Phillips Mental Health Counseling, P.c | |
|
19402 Northern Blvd Ste 212 Flushing NY 11358-3003 | |
| (631) 692-1459 | |
| Not Available |
| Full Name | Phillips Mental Health Counseling, P.c |
|---|---|
| Speciality | Counselor |
| Location | 19402 Northern Blvd Ste 212, Flushing, New York |
| Authorized Official Name and Position | Lynda Phillips (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6314702138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Mental Health Counseling, P.c 4 Broad Path Lloyd Harbor NY 11743-9763 Ph: (917) 692-1459 | Phillips Mental Health Counseling, P.c 19402 Northern Blvd Ste 212 Flushing NY 11358-3003 Ph: (631) 692-1459 |
| NPI Number | 1467913228 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 8628411766 |
|---|---|
| Medicare Enrollment ID | O20240206002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467913228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lynda Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750845285 PECOS PAC ID: 2365887585 Enrollment ID: I20240228000325 |
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