Organization · NPI-2
1 Integral Mental Health Counseling Practice PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Corona, NY
NPI number1831665538
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1831665538
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Integral Mental Health Counseling Practice PLLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2018
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
9609 40th RdCorona, NY 11368-2138
Phone 929-522-0631
Mailing address
9609 40th RdCorona, NY 11368-2138
Phone 929-522-0631
Other practice locations
10324 Corona Ave
Corona, NY 11368-3177
Corona, NY 11368-3177
Phone 929-522-0952
Authorized official
Stephanie D Tolli-Abraham
Clinical Director
9295220631
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