| Performance Sanctuary Counseling Lcsw, Pllc | |
|
20 Prospect St Ste 212 Ballston Spa NY 12020-1375 | |
| (518) 810-6446 | |
| Not Available |
| Full Name | Performance Sanctuary Counseling Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 Prospect St Ste 212, Ballston Spa, New York |
| Authorized Official Name and Position | Rachel L Moore (OWNER) |
| Authorized Official Contact | 5188106446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Sanctuary Counseling Lcsw, Pllc 20 Prospect St Ste 212 Ballston Spa NY 12020-1375 Ph: (518) 810-6446 | Performance Sanctuary Counseling Lcsw, Pllc 20 Prospect St Ste 212 Ballston Spa NY 12020-1375 Ph: (518) 810-6446 |
| NPI Number | 1548139884 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548139884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Veterans & Community Housing Coalition Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect St Ste 313, Ballston Spa, NY 12020 Phone: 518-885-0091 |