Life Stages Counseling Center, Inc

NPI 1043335920 - Counselor - 101YA0400X

NPI Details
NPI 1043335920
Enumeration Date 03/20/2007
Last Updated 06/05/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERESA GRELLA TERESA
Position MARRIAGE AND FAMILY THERAPIST
Phone (516) 617-2635
Fax (631) 462-6499
Practice Location
14 CANDLEWOOD PATH
DIX HILLS NY, 11746-5304, US
Phone (516) 617-2635
Fax (631) 462-6499
Business Location
14 CANDLEWOOD PATH
DIX HILLS NY, 11746-5304, US
Phone (516) 617-2635
Fax (631) 462-6499
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 6464
Remove 1043335920 NPI Number
 

According to our database, Life Stages Counseling Center, Inc NPI is 1043335920, taxonomy code is 101YA0400X and license number is 6464, license state is located at New York. Life Stages Counseling Center, Inc physically located at 14 Candlewood Path, Dix Hills NY, 11746-5304. NPI Number 1033115704 has the healthcare provider type.

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1043335920 NPI number is provided on an as is basis without warranty of any kind. 1043335920 is maintained by the National Plan & Provider Enumeration System. The contents of Life Stages Counseling Center, Inc are for informational purposes only.