| Peninsula Counseling Center | |
|
50 W Hawthorne Ave Valley Stream NY 11580-6220 | |
| (516) 569-6600 | |
| Not Available |
| Full Name | Peninsula Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 50 W Hawthorne Ave, Valley Stream, New York |
| Authorized Official Name and Position | Katherine Cooke (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5165696600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Counseling Center 50 W Hawthorne Ave Valley Stream NY 11580-6220 Ph: () - | Peninsula Counseling Center 50 W Hawthorne Ave Valley Stream NY 11580-6220 Ph: (516) 569-6600 |
| NPI Number | 1154731172 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154731172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 069801-1 (New York) | Primary |
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