| The Mind Wellness Connection Lcsw Pllc | |
|
2005 Palmer Ave # 1182 Larchmont NY 10538-2437 | |
| (929) 445-3346 | |
| (914) 833-1175 |
| Full Name | The Mind Wellness Connection Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2005 Palmer Ave # 1182, Larchmont, New York |
| Authorized Official Name and Position | Anastatia Fabris (SOLE MEMBER) |
| Authorized Official Contact | 9294453346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Wellness Connection Lcsw Pllc 2005 Palmer Ave # 1182 Larchmont NY 10538-2437 Ph: (929) 445-3346 | The Mind Wellness Connection Lcsw Pllc 2005 Palmer Ave # 1182 Larchmont NY 10538-2437 Ph: (929) 445-3346 |
| NPI Number | 1174110969 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174110969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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