| Live To Thrive Mental Health Counseling, Pllc | |
|
2 Executive Blvd Ste 101 Suffern NY 10901-8217 | |
| (845) 738-0007 | |
| (845) 357-7700 |
| Full Name | Live To Thrive Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2 Executive Blvd Ste 101, Suffern, New York |
| Authorized Official Name and Position | Amelie Southwood (PRESIDENT) |
| Authorized Official Contact | 8457380007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live To Thrive Mental Health Counseling, Pllc 16 Haven Ct Nyack NY 10960-1933 Ph: (845) 738-0007 | Live To Thrive Mental Health Counseling, Pllc 2 Executive Blvd Ste 101 Suffern NY 10901-8217 Ph: (845) 738-0007 |
| NPI Number | 1598331738 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 5294250395 |
|---|---|
| Medicare Enrollment ID | O20250422001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598331738 | NPI | - | NPPES |
| Provider Name | Amelie Vivian Southwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932642014 PECOS PAC ID: 6103341201 Enrollment ID: I20250422001952 |
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