| Take Back Control Mental Health Counseling Pllc | |
|
10818 Queens Blvd Ste 704 Forest Hills NY 11375-4755 | |
| (917) 508-2202 | |
| Not Available |
| Full Name | Take Back Control Mental Health Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10818 Queens Blvd Ste 704, Forest Hills, New York |
| Authorized Official Name and Position | Gabriella Mariah Mastronardi (OWNER/COUNSELOR) |
| Authorized Official Contact | 9175082202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Take Back Control Mental Health Counseling Pllc 7033 Kessel St Forest Hills NY 11375-5843 Ph: (917) 508-2202 | Take Back Control Mental Health Counseling Pllc 10818 Queens Blvd Ste 704 Forest Hills NY 11375-4755 Ph: (917) 508-2202 |
| NPI Number | 1184212516 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184212516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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