| Reverie Creative Arts Therapy Services, Pllc | |
|
7000 E Genesee St Ste D Fayetteville NY 13066-1131 | |
| (315) 783-8191 | |
| Not Available |
| Full Name | Reverie Creative Arts Therapy Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7000 E Genesee St Ste D, Fayetteville, New York |
| Authorized Official Name and Position | Mackenzie Gillett Gillett (THERAPIST/OWNER) |
| Authorized Official Contact | 3157838191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reverie Creative Arts Therapy Services, Pllc 6494 Colton Rd La Fayette NY 13084-9658 Ph: (315) 783-8191 | Reverie Creative Arts Therapy Services, Pllc 7000 E Genesee St Ste D Fayetteville NY 13066-1131 Ph: (315) 783-8191 |
| NPI Number | 1801667621 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801667621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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