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Organization
TAKE BACK CONTROL MENTAL HEALTH COUNSELING PLLC
Active
Organization
TAKE BACK CONTROL MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLA MARIAH MASTRONARDI LMHC (OWNER/COUNSELOR)
(917) 508-2202
Entity
Organization
Contact information
Practice address
10818 QUEENS BLVD STE 704, FOREST HILLS, NY 11375-4755
(917) 508-2202
Mailing address
7033 KESSEL ST, FOREST HILLS, NY 11375-5843
(917) 508-2202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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