| Resolution Counseling Services Lcsw Pllc | |
|
8900 Sutphin Blvd Ste 308g Jamaica NY 11435-3719 | |
| (347) 262-6434 | |
| Not Available |
| Full Name | Resolution Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8900 Sutphin Blvd Ste 308g, Jamaica, New York |
| Authorized Official Name and Position | Nicole Benjamin (LCSW/OWNER) |
| Authorized Official Contact | 3472626434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolution Counseling Services Lcsw Pllc 8900 Sutphin Blvd Ste 308g Jamaica NY 11435-3719 Ph: (347) 262-6434 | Resolution Counseling Services Lcsw Pllc 8900 Sutphin Blvd Ste 308g Jamaica NY 11435-3719 Ph: (347) 262-6434 |
| NPI Number | 1851795371 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Medicare PECOS PAC ID | 2062736978 |
|---|---|
| Medicare Enrollment ID | O20150126000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851795371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245377951 PECOS PAC ID: 2466499397 Enrollment ID: I20050412001517 |
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