Scarlett Begonias, Llc | |
25 Martine Ave Apt 911 White Plains NY 10606-4023 | |
(914) 719-6829 | |
(305) 647-0680 |
Full Name | Scarlett Begonias, Llc |
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Speciality | Counselor - Mental Health |
Location | 25 Martine Ave Apt 911, White Plains, New York |
Authorized Official Name and Position | Kerry Michael Wallis (OWNER) |
Authorized Official Contact | 9147053538 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Scarlett Begonias, Llc 25 Martine Ave Apt 911 White Plains NY 10606-4023 Ph: (914) 719-6829 | Scarlett Begonias, Llc 25 Martine Ave Apt 911 White Plains NY 10606-4023 Ph: (914) 719-6829 |
NPI Number | 1053959882 |
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Provider Enumeration Date | 12/11/2019 |
Last Update Date | 12/11/2019 |
Certification Date | 12/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053959882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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