| Meredith Gorton Mental Health Counseling Services Pllc | |
|
10 Main St Whitesboro NY 13492-1048 | |
| (315) 749-3476 | |
| Not Available |
| Full Name | Meredith Gorton Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 10 Main St, Whitesboro, New York |
| Authorized Official Name and Position | Meredith Gorton (OWNER) |
| Authorized Official Contact | 3157493476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Gorton Mental Health Counseling Services Pllc 10 Main St Whitesboro NY 13492-1048 Ph: (315) 749-3476 | Meredith Gorton Mental Health Counseling Services Pllc 10 Main St Whitesboro NY 13492-1048 Ph: (315) 749-3476 |
| NPI Number | 1679187041 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 2860911930 |
|---|---|
| Medicare Enrollment ID | O20250522000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679187041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Meredith Gorton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164811865 PECOS PAC ID: 3779002845 Enrollment ID: I20250522000797 |
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