# TERESA GRELLA-HILLEBRAND, LICENSED MARRIAGE & FAMILY THERAPY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE STAGES COUNSELING
- **Other names:** Life Stages Counseling
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144760505
- **Legal business name:** LIFE STAGES COUNSELING
- **Authorized official:** TERESA GRELLA-HILLEBRAND LMFT (MARRIAGE & FAMILY THERAPIST)
- **Authorized official phone:** (631) 327-2508

## Contact information

- **Practice address:** 14 CANDLEWOOD PATH, DIX HILLS, NY 11746-5304
- **Practice address phone:** (631) 327-2508
- **Mailing address:** 14 CANDLEWOOD PATH, DIX HILLS, NY 11746-5304
- **Mailing address phone:** (631) 327-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000155-1 | NY | Yes |

## Other

- **Enumeration date:** 03/06/2017
- **Last updated:** 03/06/2017