| Rockville Lcsw Pc | |
|
80 Lincoln Ave Unit 4 Rockville Centre NY 11570-5778 | |
| (516) 557-3141 | |
| Not Available |
| Full Name | Rockville Lcsw Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 80 Lincoln Ave Unit 4, Rockville Centre, New York |
| Authorized Official Name and Position | Rachel Anne Wachs (PRESIDENT) |
| Authorized Official Contact | 5165573141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockville Lcsw Pc 80 Lincoln Ave Unit 4 Rockville Centre NY 11570-5778 Ph: (516) 557-3141 | Rockville Lcsw Pc 80 Lincoln Ave Unit 4 Rockville Centre NY 11570-5778 Ph: (516) 557-3141 |
| NPI Number | 1083328660 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083328660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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