Organization · NPI-2

Mental Wellness And Therapy INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Astoria, NY

NPI number1912498965
StatusActive
Last updated in NPPESJul 20, 2018

Details

NPI
1912498965
Entity type
Organization (NPI-2)
Legal business name
Mental Wellness And Therapy INC.
Organization subpart
No
Enumeration date
May 25, 2018
Last updated
Jul 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)007835NYYes

Practice location

3063 38th St Ste B1
Astoria, NY 11103

Phone 347-586-6840

Mailing address

3063 38th St Ste B1
Astoria, NY 11103-4173

Phone 347-586-6840

Authorized official

Jasna Koltovska
President
3475866840

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