| Viva Mental Health Counseling Pc | |
|
151 N Forest Ave Rockville Centre NY 11570-4305 | |
| (347) 496-9566 | |
| Not Available |
| Full Name | Viva Mental Health Counseling Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 151 N Forest Ave, Rockville Centre, New York |
| Authorized Official Name and Position | Leslie Yesenia Vasconez (PRESIDENT) |
| Authorized Official Contact | 3474969566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Mental Health Counseling Pc 151 N Forest Ave Rockville Centre NY 11570-4305 Ph: (347) 496-9566 | Viva Mental Health Counseling Pc 151 N Forest Ave Rockville Centre NY 11570-4305 Ph: (347) 496-9566 |
| NPI Number | 1497455042 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497455042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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