| The Long Island Mental Health Counseling Group, Pc | |
|
1211 Stewart Ave Suite 100 Bethpage NY 11714-1601 | |
| (516) 428-0741 | |
| (516) 465-3998 |
| Full Name | The Long Island Mental Health Counseling Group, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1211 Stewart Ave, Bethpage, New York |
| Authorized Official Name and Position | Kristen Herbert-delaney (OWNER) |
| Authorized Official Contact | 5164280741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Long Island Mental Health Counseling Group, Pc 1211 Stewart Ave Suite 100 Bethpage NY 11714-1601 Ph: (516) 428-0741 | The Long Island Mental Health Counseling Group, Pc 1211 Stewart Ave Suite 100 Bethpage NY 11714-1601 Ph: (516) 428-0741 |
| NPI Number | 1013441401 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013441401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 004224 (New York) | Primary |
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