| Mrs Katherine Sargent Hyatt, LMHC | |
|
113 Church St, N Syracuse, NY 13212-2370 | |
| (315) 415-0308 | |
| (315) 883-0711 |
| Full Name | Mrs Katherine Sargent Hyatt |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 113 Church St, N Syracuse, 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 |
|---|---|---|---|
| 1609275528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 005499 (New York) | Primary |
| Entity Name | Branches Of Growth Mental Health Counseling, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845749 PECOS PAC ID: 4082147962 Enrollment ID: O20241030003564 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Sargent Hyatt, LMHC 113 Church St, N Syracuse, NY 13212-2370 Ph: (315) 415-0308 | Mrs Katherine Sargent Hyatt, LMHC 113 Church St, N Syracuse, NY 13212-2370 Ph: (315) 415-0308 |
Robin Ann Eaton-novak, MS, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 7266 Buckley Rd, N Syracuse, NY 13212 Phone: 315-458-0919 | |
Lori M Rose, Counselor Medicare: Medicare Enrolled Practice Location: 113 Church St, N Syracuse, NY 13212 Phone: 315-415-0308 | |
Adina Wyatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, N Syracuse, NY 13212 Phone: 315-415-0308 |