| Your Story Mental Health Counseling, Pllc | |
|
4211 N Buffalo Rd Ste 4 Orchard Park NY 14127-2401 | |
| (716) 539-0041 | |
| Not Available |
| Full Name | Your Story Mental Health Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4211 N Buffalo Rd Ste 4, Orchard Park, New York |
| Authorized Official Name and Position | Amy Lee Hackett (OWNER) |
| Authorized Official Contact | 7165390041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Story Mental Health Counseling, Pllc 4211 N Buffalo Rd Ste 4 Orchard Park NY 14127-2401 Ph: (716) 539-0041 | Your Story Mental Health Counseling, Pllc 4211 N Buffalo Rd Ste 4 Orchard Park NY 14127-2401 Ph: (716) 539-0041 |
| NPI Number | 1841062031 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841062031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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