| Scarlett Begonias, Llc | |
|
25 Martine Ave Apt 911 White Plains NY 10606-4023 | |
| (914) 719-6829 | |
| (305) 647-0680 |
| Full Name | Scarlett Begonias, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25 Martine Ave Apt 911, White Plains, New York |
| Authorized Official Name and Position | Kerry Michael Wallis (OWNER) |
| Authorized Official Contact | 9147053538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scarlett Begonias, Llc 25 Martine Ave Apt 911 White Plains NY 10606-4023 Ph: (914) 719-6829 | Scarlett Begonias, Llc 25 Martine Ave Apt 911 White Plains NY 10606-4023 Ph: (914) 719-6829 |
| NPI Number | 1053959882 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053959882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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