| Wellness Counseling Services, Lcsw, Pllc | |
|
2294 E 15th St Apt 2 Brooklyn NY 11229-4640 | |
| (347) 620-3339 | |
| Not Available |
| Full Name | Wellness Counseling Services, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2294 E 15th St Apt 2, Brooklyn, New York |
| Authorized Official Name and Position | Jason Anthony Ducos (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3476203339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Counseling Services, Lcsw, Pllc 2294 E 15th St Apt 2 Brooklyn NY 11229-4640 Ph: (347) 620-3339 | Wellness Counseling Services, Lcsw, Pllc 2294 E 15th St Apt 2 Brooklyn NY 11229-4640 Ph: (347) 620-3339 |
| NPI Number | 1831821289 |
|---|---|
| Provider Enumeration Date | 06/25/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Medicare PECOS PAC ID | 5395117915 |
|---|---|
| Medicare Enrollment ID | O20230208001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831821289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jason Anthony Ducos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750844171 PECOS PAC ID: 6204208820 Enrollment ID: I20230208001593 |
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