| Mindforce Counseling, LCSW, PLLC | |
|
20 Medford Ave Ste 110 Patchogue NY 11772-1220 | |
| (347) 779-1186 | |
| Not Available |
| Full Name | Mindforce Counseling, LCSW, PLLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 Medford Ave Ste 110, Patchogue, New York |
| Authorized Official Name and Position | Jessie Wilkinson (OWNER) |
| Authorized Official Contact | 3477791186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindforce Counseling, LCSW, PLLC 20 Medford Ave Ste 110 Patchogue NY 11772-1220 Ph: (347) 779-1186 | Mindforce Counseling, LCSW, PLLC 20 Medford Ave Ste 110 Patchogue NY 11772-1220 Ph: (347) 779-1186 |
| NPI Number | 1518732049 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518732049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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