| Ms Jill Virginia Spadafora, LMHC-D | |
|
234 Long Island Ave, Wyandanch, NY 11798-3015 | |
| (631) 920-8250 | |
| Not Available |
| Full Name | Ms Jill Virginia Spadafora |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 234 Long Island Ave, Wyandanch, 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 |
|---|---|---|---|
| 1073906863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | D007785 (New York) | Primary |
| Entity Name | Psch Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932125721 PECOS PAC ID: 0749179570 Enrollment ID: O20040311000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jill Virginia Spadafora, LMHC-D 234 Long Island Ave, Wyandanch, NY 11798-3015 Ph: (631) 920-8250 | Ms Jill Virginia Spadafora, LMHC-D 234 Long Island Ave, Wyandanch, NY 11798-3015 Ph: (631) 920-8250 |
Ms. Jessica Rae Balsamo, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 Long Island Ave, Wyandanch, NY 11798 Phone: 631-920-8250 | |
Kayla Curry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 296 State Ave, Wyandanch, NY 11798 Phone: 631-605-3988 | |
Josephine Narcisse, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Davidson St, Wyandanch, NY 11798 Phone: 929-350-3239 | |
Tanya Bates, B.A./CASAC-T/NYSCNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 S 27th St, Wyandanch, NY 11798 Phone: 347-650-8233 | |
Mrs. Lauren Michelle Aufiero, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 240a Long Island Ave, Wyandanch, NY 11798 Phone: 631-236-4299 | |
Robert Miles, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 240a Long Island Ave, Wyandanch, NY 11798 Phone: 631-920-8250 |