| Wholehearted Living Lcsw Pc | |
|
23 Candee Avenue Sayville NY 11782 | |
| (914) 400-5199 | |
| Not Available |
| Full Name | Wholehearted Living Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23 Candee Avenue, Sayville, New York |
| Authorized Official Name and Position | Melissa Macko (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 9144005199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Living Lcsw Pc 7 Flintlock Drive Shirley NY 11967 Ph: (914) 400-5199 | Wholehearted Living Lcsw Pc 23 Candee Avenue Sayville NY 11782 Ph: (914) 400-5199 |
| NPI Number | 1174005862 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174005862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 079585-2 (New York) | Primary |
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