| S.o.s. Mental Health Counseling Pllc | |
|
764 Route 25a Ste 7 East Setauket NY 11733-1231 | |
| (631) 403-0782 | |
| Not Available |
| Full Name | S.o.s. Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 764 Route 25a Ste 7, East Setauket, New York |
| Authorized Official Name and Position | Christine Colavito (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 6314030782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.o.s. Mental Health Counseling Pllc 764 Route 25a Ste 7 East Setauket NY 11733-1231 Ph: (631) 403-0782 | S.o.s. Mental Health Counseling Pllc 764 Route 25a Ste 7 East Setauket NY 11733-1231 Ph: (631) 403-0782 |
| NPI Number | 1598527822 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 2264971530 |
|---|---|
| Medicare Enrollment ID | O20240830000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598527822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christine Colavito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104353820 PECOS PAC ID: 3173062445 Enrollment ID: I20240830000298 |
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