| Essential Adirondack Therapy License Clinical Social Work, Pllc. | |
|
128 Corlear Dr Willsboro NY 12996-4144 | |
| (518) 420-5671 | |
| Not Available |
| Full Name | Essential Adirondack Therapy License Clinical Social Work, Pllc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 128 Corlear Dr, Willsboro, New York |
| Authorized Official Name and Position | Sara L Hurlburt (LCSW/ OWNER OPERATOR) |
| Authorized Official Contact | 5185729920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Adirondack Therapy License Clinical Social Work, Pllc. 63 Roscoe Rd Elizabethtown NY 12932-2407 Ph: (518) 572-9920 | Essential Adirondack Therapy License Clinical Social Work, Pllc. 128 Corlear Dr Willsboro NY 12996-4144 Ph: (518) 420-5671 |
| NPI Number | 1831809631 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831809631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |