| Therapy Is Self Discovery Liscensed Clinicalsocial Worker P.c. | |
|
183 S Wellwood Ave Unit A Lindenhurst NY 11757-4935 | |
| (631) 766-1240 | |
| (631) 991-3391 |
| Full Name | Therapy Is Self Discovery Liscensed Clinicalsocial Worker P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 183 S Wellwood Ave Unit A, Lindenhurst, New York |
| Authorized Official Name and Position | Kenneth Francis Corbin (OWNER) |
| Authorized Official Contact | 6317661240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Is Self Discovery Liscensed Clinicalsocial Worker P.c. 183 S Wellwood Ave Unit A Lindenhurst NY 11757-4935 Ph: (631) 766-1240 | Therapy Is Self Discovery Liscensed Clinicalsocial Worker P.c. 183 S Wellwood Ave Unit A Lindenhurst NY 11757-4935 Ph: (631) 766-1240 |
| NPI Number | 1336783596 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 10/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336783596 | NPI | - | NPPES |
| 1457869208 | Other | NY | MEDICARE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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