Still I Bloom Lcsw | |
107 Winnie St Albany NY 12208-2051 | |
(518) 487-9950 | |
Not Available |
Full Name | Still I Bloom Lcsw |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 107 Winnie St, Albany, New York |
Authorized Official Name and Position | Chenique L Boutelle (OWNER) |
Authorized Official Contact | 5184879950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Still I Bloom Lcsw 1060 Broadway # 1312 Menands NY 12204-2507 Ph: (518) 363-9288 | Still I Bloom Lcsw 107 Winnie St Albany NY 12208-2051 Ph: (518) 487-9950 |
NPI Number | 1356184493 |
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Provider Enumeration Date | 06/17/2024 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Identifier | Type | State | Issuer |
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1356184493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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