| Cny True North Mental Health Counseling, Pllc | |
|
662 S Main St Ste 3 Central Square NY 13036-3534 | |
| (757) 646-5861 | |
| Not Available |
| Full Name | Cny True North Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 662 S Main St Ste 3, Central Square, New York |
| Authorized Official Name and Position | Melanie Huss (OWNER) |
| Authorized Official Contact | 7576465861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cny True North Mental Health Counseling, Pllc Po Box 274 Central Square NY 13036-0274 Ph: (757) 646-5861 | Cny True North Mental Health Counseling, Pllc 662 S Main St Ste 3 Central Square NY 13036-3534 Ph: (757) 646-5861 |
| NPI Number | 1912788258 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 3375987878 |
|---|---|
| Medicare Enrollment ID | O20240222002774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912788258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Melanie K Huss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316356058 PECOS PAC ID: 0547606246 Enrollment ID: I20240315001195 |
Childers Professional Service Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Joshua Ln, Central Square, NY 13036 Phone: 315-383-7531 Fax: 315-676-0014 |