| Healthy Minds Counseling Services Lcsw Pllc | |
|
42 Gretna Rd Pleasant Valley NY 12569-6948 | |
| (914) 475-3041 | |
| Not Available |
| Full Name | Healthy Minds Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 42 Gretna Rd, Pleasant Valley, New York |
| Authorized Official Name and Position | Kristen Tuttle (CEO) |
| Authorized Official Contact | 9144753041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Counseling Services Lcsw Pllc 42 Gretna Rd Pleasant Valley NY 12569-6948 Ph: () - | Healthy Minds Counseling Services Lcsw Pllc 42 Gretna Rd Pleasant Valley NY 12569-6948 Ph: (914) 475-3041 |
| NPI Number | 1588243695 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 4486043494 |
|---|---|
| Medicare Enrollment ID | O20211112001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588243695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristen Tuttle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669456653 PECOS PAC ID: 8921358284 Enrollment ID: I20180906002738 |
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