| Whole Child Mind-body Wellness Llc | |
|
2046 N Country Rd Wading River NY 11792-1634 | |
| (631) 838-7183 | |
| (631) 284-6109 |
| Full Name | Whole Child Mind-body Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2046 N Country Rd, Wading River, New York |
| Authorized Official Name and Position | Joshua Hendrickson (OWNER) |
| Authorized Official Contact | 6318387183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Child Mind-body Wellness Llc 228 Park Ave S # 624554 New York NY 10003-1502 Ph: (631) 838-7183 | Whole Child Mind-body Wellness Llc 2046 N Country Rd Wading River NY 11792-1634 Ph: (631) 838-7183 |
| NPI Number | 1235952615 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235952615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Neuromonitoring Oversight Associates Management Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Elms Ln, Wading River, NY 11792 Phone: 860-573-0007 |