| Integrated Psychotherapy Counseling Lcsw, Plls | |
|
100 Mariners Way Port Jefferson NY 11777-1848 | |
| (934) 246-6042 | |
| Not Available |
| Full Name | Integrated Psychotherapy Counseling Lcsw, Plls |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 Mariners Way, Port Jefferson, New York |
| Authorized Official Name and Position | Julie Stark (CLINICIAN & PARTNER) |
| Authorized Official Contact | 9342466042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychotherapy Counseling Lcsw, Plls 100 Mariners Way Port Jefferson NY 11777-1848 Ph: (934) 246-6042 | Integrated Psychotherapy Counseling Lcsw, Plls 100 Mariners Way Port Jefferson NY 11777-1848 Ph: (934) 246-6042 |
| NPI Number | 1003609827 |
|---|---|
| Provider Enumeration Date | 05/24/2025 |
| Last Update Date | 05/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003609827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Village Internal Medicine Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Main Street, Port Jefferson, NY 11777 Phone: 631-474-4000 Fax: 631-474-4011 | |
Family Medical Wellness Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Oakland Ave, Ste 203, Port Jefferson, NY 11777 Phone: 631-928-9326 | |
Harbor Medical Wellness Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Belle Terre Rd Bldg J, Port Jefferson, NY 11777 Phone: 631-885-2364 | |
Mather Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Oakland Ave, Suite 205, Port Jefferson, NY 11777 Phone: 631-686-2523 Fax: 631-686-2525 | |
Harbor View Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Oakland Ave Ste 204, Port Jefferson, NY 11777 Phone: 631-686-2526 | |
John T Mather Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Suite 201, Port Jefferson, NY 11777 Phone: 631-689-0220 Fax: 631-417-3042 |