| Phoenix Within Mental Health Counseling Llc | |
|
775 Park Ave Ste 255 Huntington NY 11743-7538 | |
| (917) 699-8794 | |
| Not Available |
| Full Name | Phoenix Within Mental Health Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 775 Park Ave Ste 255, Huntington, New York |
| Authorized Official Name and Position | Gabrielle Marie Ricca-caldon (OWNER/PROVIDER) |
| Authorized Official Contact | 9175812834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Within Mental Health Counseling Llc 775 Park Ave Ste 380 Huntington NY 11743-7573 Ph: (917) 699-8794 | Phoenix Within Mental Health Counseling Llc 775 Park Ave Ste 255 Huntington NY 11743-7538 Ph: (917) 699-8794 |
| NPI Number | 1962103523 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962103523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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