| Enlightenment Mental Health Counseling Pllc | |
|
370 E 160th St Bronx NY 10451-4404 | |
| (917) 545-2674 | |
| (718) 709-7511 |
| Full Name | Enlightenment Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 370 E 160th St, Bronx, New York |
| Authorized Official Name and Position | Luis Lopez (OWNER) |
| Authorized Official Contact | 9175452674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightenment Mental Health Counseling Pllc 4 Trimble St # 2 Garnerville NY 10923-1508 Ph: (929) 393-3897 | Enlightenment Mental Health Counseling Pllc 370 E 160th St Bronx NY 10451-4404 Ph: (917) 545-2674 |
| NPI Number | 1194558981 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 1052835378 |
|---|---|
| Medicare Enrollment ID | O20250408002947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194558981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Luis Antonio Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932447927 PECOS PAC ID: 2961926282 Enrollment ID: I20250408003120 |
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