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Organization
SUPPORTIVE SPACE MENTAL HEALTH COUNSELING PLLC
Active
Organization
SUPPORTIVE SPACE MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE CASSIDY LMHC (CEO)
(212) 518-4644
Entity
Organization
Contact information
Practice address
76 PINEHURST CIR, MONROE, NY 10950-5567
(212) 518-4644
Mailing address
76 PINEHURST CIR, MONROE, NY 10950-5567
(212) 518-4644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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