| 365 Mental Health Counseling Pllc | |
|
5 Coon Hollow Rd Lloyd Harbor NY 11743-9723 | |
| (516) 581-4242 | |
| Not Available |
| Full Name | 365 Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5 Coon Hollow Rd, Lloyd Harbor, New York |
| Authorized Official Name and Position | Allison Spinner (OWNER) |
| Authorized Official Contact | 5165814242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 365 Mental Health Counseling Pllc 5 Coon Hollow Rd Lloyd Harbor NY 11743-9723 Ph: (516) 581-4242 | 365 Mental Health Counseling Pllc 5 Coon Hollow Rd Lloyd Harbor NY 11743-9723 Ph: (516) 581-4242 |
| NPI Number | 1417787904 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 7618400672 |
|---|---|
| Medicare Enrollment ID | O20241029002698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417787904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Allison Nicole Spinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972179406 PECOS PAC ID: 8527591585 Enrollment ID: I20241029002838 |
| Provider Name | Maria C Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518754506 PECOS PAC ID: 5799294260 Enrollment ID: I20250605000254 |
| Provider Name | Andrea Tejeda-otis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477340453 PECOS PAC ID: 4688183163 Enrollment ID: I20250605000343 |
| Provider Name | Natalie Ruvola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689915803 PECOS PAC ID: 6204345788 Enrollment ID: I20250605000386 |
| Provider Name | Amy Marie Insana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437947355 PECOS PAC ID: 5496265423 Enrollment ID: I20250610000504 |