| Sunrise Park Psychotherapy Lcsw Pc | |
|
1228 Wantagh Ave Ste 111 Wantagh NY 11793-2209 | |
| (516) 644-6495 | |
| (516) 324-3143 |
| Full Name | Sunrise Park Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1228 Wantagh Ave Ste 111, Wantagh, New York |
| Authorized Official Name and Position | Gina Marie Cubillos (OWNER/PROVIDER) |
| Authorized Official Contact | 5166446495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Park Psychotherapy Lcsw Pc 1228 Wantagh Ave Ste 111 Wantagh NY 11793-2209 Ph: (516) 644-6495 | Sunrise Park Psychotherapy Lcsw Pc 1228 Wantagh Ave Ste 111 Wantagh NY 11793-2209 Ph: (516) 644-6495 |
| NPI Number | 1376288530 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Certification Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376288530 | NPI | - | NPPES |
| 1048692 | Other | NY | BEACON HEALTH OPTIONS |
| NKN592 | Other | NY | BCBS ANTHEM ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Maryhaven Center Of Hope Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2957 Burns Avenue, Wantagh, NY 11793 Phone: 516-783-3410 Fax: 516-826-7688 | |
Cornerstone Behavioral Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3670 Orchard Rd, Wantagh, NY 11793 Phone: 516-993-7844 Fax: 516-785-2960 | |
Self-first Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 Johnston Ave, Wantagh, NY 11793 Phone: 516-400-3772 | |
Southeast Nassau Guidance Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Serenity Sessions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2175 Wantagh Ave Ste 105, Wantagh, NY 11793 Phone: 941-302-8524 | |
Lager Lcsw, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1414 Wantagh Avenue, Wantagh, NY 11793 Phone: 516-221-2123 Fax: 516-221-2124 | |
Dr. Rachell Pierre-louis, Psychologist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2175 Wantagh Ave Ste 103, Wantagh, NY 11793 Phone: 631-392-8245 |