The Mind Wellness Connection Lcsw Pllc | |
2005 Palmer Ave # 1182 Larchmont NY 10538-2437 | |
(929) 445-3346 | |
(914) 833-1175 |
Full Name | The Mind Wellness Connection Lcsw Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 2005 Palmer Ave # 1182, Larchmont, New York |
Authorized Official Name and Position | Anastatia Fabris (SOLE MEMBER) |
Authorized Official Contact | 9294453346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Mind Wellness Connection Lcsw Pllc 2005 Palmer Ave # 1182 Larchmont NY 10538-2437 Ph: (929) 445-3346 | The Mind Wellness Connection Lcsw Pllc 2005 Palmer Ave # 1182 Larchmont NY 10538-2437 Ph: (929) 445-3346 |
NPI Number | 1174110969 |
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Provider Enumeration Date | 12/28/2020 |
Last Update Date | 12/28/2020 |
Certification Date | 12/28/2020 |
Identifier | Type | State | Issuer |
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1174110969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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