| Shift Your Journey Mental Health Counseling, Pllc | |
|
75 S Broadway Fl 4 White Plains NY 10601-4413 | |
| (914) 902-8923 | |
| Not Available |
| Full Name | Shift Your Journey Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 75 S Broadway Fl 4, White Plains, New York |
| Authorized Official Name and Position | Grace Addow-langlais (OWNER) |
| Authorized Official Contact | 3478855510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shift Your Journey Mental Health Counseling, Pllc 75 S Broadway Fl 4 White Plains NY 10601-4413 Ph: () - | Shift Your Journey Mental Health Counseling, Pllc 75 S Broadway Fl 4 White Plains NY 10601-4413 Ph: (914) 902-8923 |
| NPI Number | 1144989138 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/14/2021 |
| Medicare PECOS PAC ID | 1658801238 |
|---|---|
| Medicare Enrollment ID | O20250212000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144989138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Grace Addow-langlais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467121442 PECOS PAC ID: 2567992142 Enrollment ID: I20250212001576 |
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