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Organization
GOLD COAST MENTAL HEALTH COUNSELING
Active
Organization
GOLD COAST MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KATZ (PRESIDENT)
(516) 962-1017
Entity
Organization
Contact information
Practice address
191 BROADWAY, AMITYVILLE, NY 11701-2790
(631) 264-0058
Mailing address
191 BROADWAY, AMITYVILLE, NY 11701-2790
(516) 962-1017
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720436199
NPPES
—
Enumeration date
12/09/2018
Last updated
12/22/2018
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