| Inclusive Mental Health Counseling Services ,pllc | |
|
107 Hawthorne Dr Camillus NY 13031-1407 | |
| (315) 492-4899 | |
| (315) 883-8305 |
| Full Name | Inclusive Mental Health Counseling Services ,pllc |
|---|---|
| Speciality | Counselor |
| Location | 107 Hawthorne Dr, Camillus, New York |
| Authorized Official Name and Position | Kathryn R Oconnell (CEO) |
| Authorized Official Contact | 1315492489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Mental Health Counseling Services ,pllc 107 Hawthorne Dr Camillus NY 13031-1407 Ph: (315) 492-4899 | Inclusive Mental Health Counseling Services ,pllc 107 Hawthorne Dr Camillus NY 13031-1407 Ph: (315) 492-4899 |
| NPI Number | 1023871324 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 4688110307 |
|---|---|
| Medicare Enrollment ID | O20240718001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023871324 | NPI | - | NPPES |
| 002419-01 | Other | NY | INSURANCE COMPANIES |
| 02046257 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn Ruth O'connell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467596296 PECOS PAC ID: 5597201210 Enrollment ID: I20240718001549 |
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