| Thelma A Costello Ms Lmhc Pc | |
|
3 Computer Dr W Ste 116 Albany NY 12205-1621 | |
| (518) 495-7531 | |
| (518) 207-1900 |
| Full Name | Thelma A Costello Ms Lmhc Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3 Computer Dr W Ste 116, Albany, New York |
| Authorized Official Name and Position | Thelma A Costello (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5184383139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thelma A Costello Ms Lmhc Pc 3 Computer Dr W Ste 116 Albany NY 12205-1621 Ph: (518) 495-7531 | Thelma A Costello Ms Lmhc Pc 3 Computer Dr W Ste 116 Albany NY 12205-1621 Ph: (518) 495-7531 |
| NPI Number | 1902031107 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 01/01/2025 |
| Certification Date | 01/01/2025 |
| Medicare PECOS PAC ID | 9234670076 |
|---|---|
| Medicare Enrollment ID | O20240920001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902031107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000145-1 (New York) | Primary |
| Provider Name | Thelma Costello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598773178 PECOS PAC ID: 0042751885 Enrollment ID: I20240920002312 |
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