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Organization
SOUL DISCOVERY MENTAL HEALTH COUNSELING SERVICES PC
Active
Organization
SOUL DISCOVERY MENTAL HEALTH COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA MOMRELLE-CLARKE (DIRECTOR/OWNER)
(347) 344-0378
Entity
Organization
Contact information
Practice address
333 HEMPSTEAD AVE STE 203, MALVERNE, NY 11565-1242
(347) 344-0378
Mailing address
333 HEMPSTEAD AVE STE 203, MALVERNE, NY 11565-1242
(516) 847-4636
(347) 620-7247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
09/26/2026
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