Take Back Control Mental Health Counseling Pllc | |
10818 Queens Blvd Ste 704 Forest Hills NY 11375-4755 | |
(917) 508-2202 | |
Not Available |
Full Name | Take Back Control Mental Health Counseling Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10818 Queens Blvd Ste 704, Forest Hills, New York |
Authorized Official Name and Position | Gabriella Mariah Mastronardi (OWNER/COUNSELOR) |
Authorized Official Contact | 9175082202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Take Back Control Mental Health Counseling Pllc 7033 Kessel St Forest Hills NY 11375-5843 Ph: (917) 508-2202 | Take Back Control Mental Health Counseling Pllc 10818 Queens Blvd Ste 704 Forest Hills NY 11375-4755 Ph: (917) 508-2202 |
NPI Number | 1184212516 |
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Provider Enumeration Date | 12/31/2020 |
Last Update Date | 12/31/2020 |
Certification Date | 12/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184212516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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