| Triumph Counseling Lcsw Pllc | |
|
4 New St Pleasantville NY 10570-3107 | |
| (914) 589-4328 | |
| (914) 239-8797 |
| Full Name | Triumph Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4 New St, Pleasantville, New York |
| Authorized Official Name and Position | Linda Unneland (SOLE MEMBER) |
| Authorized Official Contact | 9145894328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Counseling Lcsw Pllc 4 New St Pleasantville NY 10570-3107 Ph: (914) 589-4328 | Triumph Counseling Lcsw Pllc 4 New St Pleasantville NY 10570-3107 Ph: (914) 589-4328 |
| NPI Number | 1689119893 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 12/23/2016 |
| Medicare PECOS PAC ID | 9931481942 |
|---|---|
| Medicare Enrollment ID | O20170127001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689119893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73 040256 (New York) | Primary |
| Provider Name | Linda Unneland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790874675 PECOS PAC ID: 1254613193 Enrollment ID: I20170127001488 |
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