| Spotless Mind Mental Health Counseling Pllc | |
|
649 Commack Rd Ste A Commack NY 11725-5413 | |
| (631) 365-4454 | |
| Not Available |
| Full Name | Spotless Mind Mental Health Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 649 Commack Rd Ste A, Commack, New York |
| Authorized Official Name and Position | Jenna Vogler (DIRECTOR) |
| Authorized Official Contact | 6313654454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spotless Mind Mental Health Counseling Pllc 649 Commack Rd Ste A Commack NY 11725-5413 Ph: (631) 365-4454 | Spotless Mind Mental Health Counseling Pllc 649 Commack Rd Ste A Commack NY 11725-5413 Ph: (631) 365-4454 |
| NPI Number | 1245980267 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 12/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245980267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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