| Amy Villanueva, | |
|
16 Oakley Blvd, Garnerville, NY 10923-1860 | |
| (845) 608-1975 | |
| Not Available |
| Full Name | Amy Villanueva |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 16 Oakley Blvd, Garnerville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649893967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 009580 (New York) | Primary |
| Entity Name | Ocean Waves Mental Health Counseling Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801679881 PECOS PAC ID: 2264872720 Enrollment ID: O20240501000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Villanueva, 16 Oakley Blvd, Garnerville, NY 10923-1860 Ph: (845) 608-1975 | Amy Villanueva, 16 Oakley Blvd, Garnerville, NY 10923-1860 Ph: (845) 608-1975 |
Jennifer Elizabeth Luongo, LMHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Rowan Dr, Garnerville, NY 10923 Phone: 845-634-5729 | |
Tamika Mercer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Norris St, Garnerville, NY 10923 Phone: 914-562-9358 | |
Tierra Hall-edward, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Ramapo Rd Apt N, Garnerville, NY 10923 Phone: 845-742-3803 |