| Signature Therapy Services Pllc | |
|
600 Park Ave Carriage House Rochester NY 14607 | |
| (585) 902-2664 | |
| Not Available |
| Full Name | Signature Therapy Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Park Ave, Rochester, New York |
| Authorized Official Name and Position | Natalie Mclaren-neil (OWNER/PRIMARY CLINICIAN) |
| Authorized Official Contact | 5859022664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Therapy Services Pllc Po Box 609 Henrietta NY 14467-0609 Ph: (585) 902-2664 | Signature Therapy Services Pllc 600 Park Ave Carriage House Rochester NY 14607 Ph: (585) 902-2664 |
| NPI Number | 1457063422 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 0345614491 |
|---|---|
| Medicare Enrollment ID | O20230313002584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457063422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Natalie S Mclaren Neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396303491 PECOS PAC ID: 2961876016 Enrollment ID: I20230313002702 |
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