| Therapeutic Mind Llc | |
|
24825 Northern Blvd Ste 1j-174 Little Neck NY 11362-1211 | |
| (929) 464-6369 | |
| Not Available |
| Full Name | Therapeutic Mind Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 24825 Northern Blvd Ste 1j-174, Little Neck, New York |
| Authorized Official Name and Position | Veronica Gonzalez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3475260047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Mind Llc 24825 Northern Blvd Ste 1j-174 Little Neck NY 11362-1211 Ph: (929) 464-6369 | Therapeutic Mind Llc 24825 Northern Blvd Ste 1j-174 Little Neck NY 11362-1211 Ph: (929) 464-6369 |
| NPI Number | 1336770114 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336770114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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