| Roca Mental Health Counseling Pllc | |
|
318 Seguine Ave Staten Island NY 10309-3941 | |
| (718) 356-9222 | |
| (718) 605-4729 |
| Full Name | Roca Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 318 Seguine Ave, Staten Island, New York |
| Authorized Official Name and Position | Catherine Antoinette Roca (OWNER) |
| Authorized Official Contact | 7186141989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roca Mental Health Counseling Pllc 2460 Victory Blvd Staten Island NY 10314-6612 Ph: (718) 614-1989 | Roca Mental Health Counseling Pllc 318 Seguine Ave Staten Island NY 10309-3941 Ph: (718) 356-9222 |
| NPI Number | 1376017608 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376017608 | NPI | - | NPPES |
| 1104201227 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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