| Jenna Fakhoury Corp | |
|
77 Ordelia Ln Round Lake NY 12151-1730 | |
| (352) 427-2030 | |
| Not Available |
| Full Name | Jenna Fakhoury Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 77 Ordelia Ln, Round Lake, New York |
| Authorized Official Name and Position | Jenna Fakhoury (OWNER) |
| Authorized Official Contact | 3524272030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Fakhoury Corp 77 Ordelia Ln Round Lake NY 12151-1730 Ph: (352) 427-2030 | Jenna Fakhoury Corp 77 Ordelia Ln Round Lake NY 12151-1730 Ph: (352) 427-2030 |
| NPI Number | 1578412607 |
|---|---|
| Provider Enumeration Date | 01/22/2026 |
| Last Update Date | 01/22/2026 |
| Certification Date | 01/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578412607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Open Doors Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 Route 9, Ushers Park 9, Round Lake, NY 12151 Phone: 518-406-3119 Fax: 518-406-3119 |