Andrea Isabel Tejeda, LMHC | |
79 Main St Ste 3, Port Washington, NY 11050-2938 | |
(631) 885-8990 | |
Not Available |
Full Name | Andrea Isabel Tejeda |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 79 Main St Ste 3, Port Washington, 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 |
---|---|---|---|
1477340453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 014844 (New York) | Primary |
Entity Name | 365 Mental Health Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417787904 PECOS PAC ID: 7618400672 Enrollment ID: O20241029002698 |
Mailing Address | Practice Location Address |
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Andrea Isabel Tejeda, LMHC 20 Adams St, Port Washington, NY 11050-3202 Ph: () - | Andrea Isabel Tejeda, LMHC 79 Main St Ste 3, Port Washington, NY 11050-2938 Ph: (631) 885-8990 |
Sven Bodo Feyler, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Main Street, Port Counseling, Port Washington, NY 11050 Phone: 516-767-1133 | |
Dr. Eugene Carl Goldin, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Luquer Rd, Port Washington, NY 11050 Phone: 516-242-3144 | |
Carlos A. Buitrago, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Main Street, Port Washington, NY 11050 Phone: 516-767-1133 Fax: 516-767-3680 | |
Ms. Emily Ann Imondi, M.S.ED., M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Derby Rd, Port Washington, NY 11050 Phone: 516-993-0852 | |
Fran Gross, LCSW, CASAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 225 Main St., Port Washington, NY 11050 Phone: 516-767-1133 Fax: 516-767-3680 | |
Ms. Carrie E. Diamond, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 Angler Ln, Port Washington, NY 11050 Phone: 516-570-0535 |