| Sg Wellness Mhc Pllc | |
|
15 Macdonough St Ste 3b Brooklyn NY 11216-2303 | |
| (347) 475-1676 | |
| Not Available |
| Full Name | Sg Wellness Mhc Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15 Macdonough St Ste 3b, Brooklyn, New York |
| Authorized Official Name and Position | Shani Graves (OWNER) |
| Authorized Official Contact | 3474751676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Wellness Mhc Pllc 15 Macdonough St Ste 3b Brooklyn NY 11216-2303 Ph: (347) 475-1676 | Sg Wellness Mhc Pllc 15 Macdonough St Ste 3b Brooklyn NY 11216-2303 Ph: (347) 475-1676 |
| NPI Number | 1841925450 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841925450 | NPI | - | NPPES |
| 1578990958 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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