| Promotion Of Self Therapy, Lcsw, Pllc | |
|
1 Nassau Rd Apt 4 Yonkers NY 10710-1641 | |
| (646) 651-3717 | |
| Not Available |
| Full Name | Promotion Of Self Therapy, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Nassau Rd Apt 4, Yonkers, New York |
| Authorized Official Name and Position | Amanda Christine Vilaseca (CLINICIAN/OWNER) |
| Authorized Official Contact | 6466513717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promotion Of Self Therapy, Lcsw, Pllc 150 W 225th St Apt 6d Bronx NY 10463-5040 Ph: (646) 651-3717 | Promotion Of Self Therapy, Lcsw, Pllc 1 Nassau Rd Apt 4 Yonkers NY 10710-1641 Ph: (646) 651-3717 |
| NPI Number | 1881266773 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 4981098050 |
|---|---|
| Medicare Enrollment ID | O20220307001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881266773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amanda C Vilaseca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639616105 PECOS PAC ID: 2264835388 Enrollment ID: I20210728000229 |
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