| Queens Counseling For Change, Lcsw, Llp | |
|
44-61 A 11th St Long Island City NY 11101-5102 | |
| (718) 424-6191 | |
| (718) 424-6192 |
| Full Name | Queens Counseling For Change, Lcsw, Llp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44-61 A 11th St, Long Island City, New York |
| Authorized Official Name and Position | Larry Menzie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9174943281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Counseling For Change, Lcsw, Llp Po Box 720485 Jackson Heights NY 11372-0485 Ph: (718) 424-6191 | Queens Counseling For Change, Lcsw, Llp 44-61 A 11th St Long Island City NY 11101-5102 Ph: (718) 424-6191 |
| NPI Number | 1104070879 |
|---|---|
| Provider Enumeration Date | 11/07/2008 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104070879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 091011667 (New York) | Primary |
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