| Long Island New Hope Counseling Services, Lcsw, Pllc | |
|
551 N Country Rd Ste 203 Saint James NY 11780-1445 | |
| (631) 974-5052 | |
| Not Available |
| Full Name | Long Island New Hope Counseling Services, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 551 N Country Rd Ste 203, Saint James, New York |
| Authorized Official Name and Position | Daniel R Girard-domena (OWNER) |
| Authorized Official Contact | 6319745052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island New Hope Counseling Services, Lcsw, Pllc Po Box 420 Sound Beach NY 11789-0420 Ph: (631) 974-5052 | Long Island New Hope Counseling Services, Lcsw, Pllc 551 N Country Rd Ste 203 Saint James NY 11780-1445 Ph: (631) 974-5052 |
| NPI Number | 1326634122 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326634122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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