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Organization
HEART & SOUL COMMUNITY COUNSELING
Active
Organization
HEART & SOUL COMMUNITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L CALABRESE (PRESIDENT / EXECUTIVE DIRECTOR)
(631) 321-7011
Entity
Organization
Contact information
Practice address
17 FORDHAM RD, WEST BABYLON, NY 11704-5803
(631) 321-7011
(631) 669-8532
Mailing address
17 FORDHAM RD, WEST BABYLON, NY 11704-5803
(631) 321-7011
(631) 669-8532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/23/2005
Last updated
05/08/2019
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