| Tree Of Life Mental Health Counseling Pllc | |
|
2291 Victory Blvd Staten Island NY 10314-6625 | |
| (646) 220-4406 | |
| Not Available |
| Full Name | Tree Of Life Mental Health Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2291 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Krystie Izzo (OWNER) |
| Authorized Official Contact | 6462204406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Mental Health Counseling Pllc 2291 Victory Blvd Staten Island NY 10314-6625 Ph: (646) 220-4406 | Tree Of Life Mental Health Counseling Pllc 2291 Victory Blvd Staten Island NY 10314-6625 Ph: (646) 220-4406 |
| NPI Number | 1326602665 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326602665 | NPI | - | NPPES |
| 007045 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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