| Supportive Space Mental Health Counseling Pllc | |
|
76 Pinehurst Cir Monroe NY 10950-5567 | |
| (212) 518-4644 | |
| Not Available |
| Full Name | Supportive Space Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 76 Pinehurst Cir, Monroe, New York |
| Authorized Official Name and Position | Colette Cassidy (CEO) |
| Authorized Official Contact | 2125184644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Space Mental Health Counseling Pllc 76 Pinehurst Cir Monroe NY 10950-5567 Ph: (212) 518-4644 | Supportive Space Mental Health Counseling Pllc 76 Pinehurst Cir Monroe NY 10950-5567 Ph: (212) 518-4644 |
| NPI Number | 1184450397 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184450397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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