| Lifeway Mental Health Counseling Services Pllc | |
|
2426 State Route 11 Ste A North Bangor NY 12966-2747 | |
| (518) 521-8869 | |
| Not Available |
| Full Name | Lifeway Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2426 State Route 11 Ste A, North Bangor, New York |
| Authorized Official Name and Position | Julia Louise Schroen (SOLE MEMBER) |
| Authorized Official Contact | 5185218869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Mental Health Counseling Services Pllc 2426 State Route 11 Ste A North Bangor NY 12966-2747 Ph: (518) 521-8869 | Lifeway Mental Health Counseling Services Pllc 2426 State Route 11 Ste A North Bangor NY 12966-2747 Ph: (518) 521-8869 |
| NPI Number | 1821526336 |
|---|---|
| Provider Enumeration Date | 05/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821526336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 005864-1 (New York) | Primary |