| Conscious Change Mental Health Counseling Services Pllc | |
|
184 Gurley Ave Staten Island NY 10308-1505 | |
| (929) 260-1363 | |
| Not Available |
| Full Name | Conscious Change Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 184 Gurley Ave, Staten Island, New York |
| Authorized Official Name and Position | Jane Peck (OWNER/PROVIDER) |
| Authorized Official Contact | 9292601363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Change Mental Health Counseling Services Pllc 184 Gurley Ave Staten Island NY 10308-1505 Ph: () - | Conscious Change Mental Health Counseling Services Pllc 184 Gurley Ave Staten Island NY 10308-1505 Ph: (929) 260-1363 |
| NPI Number | 1093527111 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093527111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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