| Sanctuary Mental Health Counseling, Pllc | |
|
345 Guyon Ave Rm 14 Staten Island NY 10306 | |
| (347) 948-5077 | |
| Not Available |
| Full Name | Sanctuary Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 345 Guyon Ave Rm 14, Staten Island, New York |
| Authorized Official Name and Position | Yasmin Rose Botte (OWNER) |
| Authorized Official Contact | 3479485077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Mental Health Counseling, Pllc 440 Mcclean Ave Staten Island NY 10305-3612 Ph: (917) 754-8570 | Sanctuary Mental Health Counseling, Pllc 345 Guyon Ave Rm 14 Staten Island NY 10306 Ph: (347) 948-5077 |
| NPI Number | 1790308468 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790308468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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