| Soul Discovery Mental Health Counseling Services Pc | |
|
333 Hempstead Ave Ste 203 Malverne NY 11565-1242 | |
| (347) 344-0378 | |
| Not Available |
| Full Name | Soul Discovery Mental Health Counseling Services Pc |
|---|---|
| Speciality | Counselor |
| Location | 333 Hempstead Ave Ste 203, Malverne, New York |
| Authorized Official Name and Position | Glenda Momrelle-clarke (DIRECTOR/OWNER) |
| Authorized Official Contact | 3473440378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Discovery Mental Health Counseling Services Pc 333 Hempstead Ave Ste 203 Malverne NY 11565-1242 Ph: (347) 344-0378 | Soul Discovery Mental Health Counseling Services Pc 333 Hempstead Ave Ste 203 Malverne NY 11565-1242 Ph: (347) 344-0378 |
| NPI Number | 1003425299 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Medicare PECOS PAC ID | 9830542927 |
|---|---|
| Medicare Enrollment ID | O20240124004656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003425299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Glenda Momrelle-clarke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366873069 PECOS PAC ID: 3173975497 Enrollment ID: I20240129003668 |
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