| Holly Tanenbaum-kuttruf, LMHC | |
|
356 Meadow Ave, Newburgh, NY 12550-3038 | |
| (845) 564-0010 | |
| Not Available |
| Full Name | Holly Tanenbaum-kuttruf |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 356 Meadow Ave, Newburgh, 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 |
|---|---|---|---|
| 1568860013 | NPI | - | NPPES |
| 03448515 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 005613 (New York) | Primary |
| Entity Name | Senior Care Therapy Lcsw Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932677168 PECOS PAC ID: 7113269010 Enrollment ID: O20190424002784 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Tanenbaum-kuttruf, LMHC 202 Conashaugh Trl, Milford, PA 18337-3905 Ph: (845) 467-1207 | Holly Tanenbaum-kuttruf, LMHC 356 Meadow Ave, Newburgh, NY 12550-3038 Ph: (845) 564-0010 |
Cheryll Harrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Commercial Pl, Newburgh, NY 12550 Phone: 845-563-8000 | |
Jillian Muir, CASAC-2 34006 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Commercial Pl, Newburgh, NY 12550 Phone: 845-220-2146 | |
Gregory Emmanuel Young, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1607 Route 300 # 101, Newburgh, NY 12550 Phone: 845-567-6027 | |
Laureen Torres-martinez, CASAC, CPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 46 Roe St, Newburgh, NY 12550 Phone: 845-561-1665 Fax: 845-569-0047 | |
Keri Forster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Commercial Pl, Newburgh, NY 12550 Phone: 845-220-2146 | |
Annette Traudt, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 Broadway, Newburgh, NY 12550 Phone: 845-562-8255 | |
Jenna Vanessa Graziano, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1607 Route 300 Ste 101, Newburgh, NY 12550 Phone: 845-567-6027 |