| Purposeful Living Mental Health Counseling, Pllc | |
|
45 Stack Dr Staten Island NY 10312-1632 | |
| (917) 834-6500 | |
| (646) 558-5694 |
| Full Name | Purposeful Living Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 45 Stack Dr, Staten Island, New York |
| Authorized Official Name and Position | Daisy Chow (CEO) |
| Authorized Official Contact | 9178346500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Living Mental Health Counseling, Pllc 45 Stack Dr Staten Island NY 10312-1632 Ph: (917) 834-6500 | Purposeful Living Mental Health Counseling, Pllc 45 Stack Dr Staten Island NY 10312-1632 Ph: (917) 834-6500 |
| NPI Number | 1437691094 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 4082053194 |
|---|---|
| Medicare Enrollment ID | O20240422001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437691094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6074 (New York) | Primary |
| Provider Name | Daisy Chow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598175119 PECOS PAC ID: 6800235912 Enrollment ID: I20240422001247 |
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