| Pearce Mental Health Counseling Services Pllc | |
|
168 Connecticut Ave Freeport NY 11520-1531 | |
| (516) 993-6815 | |
| Not Available |
| Full Name | Pearce Mental Health Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 168 Connecticut Ave, Freeport, New York |
| Authorized Official Name and Position | Jacqueline Pearce (OWNER) |
| Authorized Official Contact | 5169936815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearce Mental Health Counseling Services Pllc 168 Connecticut Ave Freeport NY 11520-1531 Ph: (516) 993-6815 | Pearce Mental Health Counseling Services Pllc 168 Connecticut Ave Freeport NY 11520-1531 Ph: (516) 993-6815 |
| NPI Number | 1417504531 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 3971037276 |
|---|---|
| Medicare Enrollment ID | O20241108002584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417504531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Pearce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699172759 PECOS PAC ID: 5193259257 Enrollment ID: I20241112002504 |
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