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Organization
JOURNEY OF THE MIND MENTAL HEALTH COUNSELING PLLC
Active
Organization
JOURNEY OF THE MIND MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DESIDERIO LMHC (OWNER)
(347) 671-7038
Entity
Organization
Contact information
Practice address
3285B RICHMOND AVE STE 200, STATEN ISLAND, NY 10312-2123
(347) 671-7038
Mailing address
3285B RICHMOND AVE STE 200, STATEN ISLAND, NY 10312-2123
(347) 671-7038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012317
LICENSE
NY
Enumeration date
02/17/2023
Last updated
02/27/2023
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