| Ms Theresa Bergold, LMSW | |
|
161 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3182 | |
| (631) 471-5666 | |
| Not Available |
| Full Name | Ms Theresa Bergold |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 161 Lake Shore Rd, Lake Ronkonkoma, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831613868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa Bergold, LMSW 10 Railroad Ave Apt 4, Bethpage, NY 11714-3000 Ph: () - | Ms Theresa Bergold, LMSW 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3182 Ph: (631) 471-5666 |
Jennifer T Michiel, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Weichers St, Lake Ronkonkoma, NY 11779 Phone: 631-848-7137 | |
Barbara Massaro, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Cedar St, Lake Ronkonkoma, NY 11779 Phone: 484-999-1174 | |
Mr. Greg Hackett, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Warren Ave, Lake Ronkonkoma, NY 11779 Phone: 631-235-6291 |