# ADVANCED MINDCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649479817
- **Authorized official:** LYUDMILA PROKHIY M.S., ED. (OWNER/MEMBER)
- **Authorized official phone:** (516) 376-0865

## Contact information

- **Practice address:** 1234 W BROADWAY, SUITE 2, HEWLETT, NY 11557-1929
- **Practice address phone:** (516) 376-0865
- **Mailing address:** 1234 W BROADWAY, SUITE 2, HEWLETT, NY 11557-1929
- **Mailing address phone:** (516) 376-0865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 07/17/2007
