| Village Therapy Services Lcsw Pllc | |
|
87 Wolfs Ln Pelham NY 10803-1831 | |
| (914) 275-2040 | |
| Not Available |
| Full Name | Village Therapy Services Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 87 Wolfs Ln, Pelham, New York |
| Authorized Official Name and Position | Mildret Kirkup (OWNER) |
| Authorized Official Contact | 9142752040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Therapy Services Lcsw Pllc 28 Pershing Ave New Rochelle NY 10801-2317 Ph: (914) 275-2040 | Village Therapy Services Lcsw Pllc 87 Wolfs Ln Pelham NY 10803-1831 Ph: (914) 275-2040 |
| NPI Number | 1447085865 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447085865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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