| Resilient Counseling Lcsw Pc | |
|
4109 Sunrise Hwy Bohemia NY 11716-4600 | |
| (631) 503-1539 | |
| Not Available |
| Full Name | Resilient Counseling Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4109 Sunrise Hwy, Bohemia, New York |
| Authorized Official Name and Position | Jamie Vollmoeller (OWNER) |
| Authorized Official Contact | 6315031539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Counseling Lcsw Pc 2 Mount Sinai Ave S Port Jefferson Station NY 11776-3214 Ph: () - | Resilient Counseling Lcsw Pc 4109 Sunrise Hwy Bohemia NY 11716-4600 Ph: (631) 503-1539 |
| NPI Number | 1134804602 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134804602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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