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Organization
EDIFIED CARE INC
Active
Organization
EDIFIED CARE INC
Active
Other names
EDIFIED CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JEAN HIERONYMUS LCSW, CASAC (OWNER)
(516) 314-2652
Entity
Organization
Contact information
Practice address
1054 WEBBER AVE, SOUTH HEMPSTEAD, NY 11550-7830
(516) 314-2652
(516) 505-7393
Mailing address
1054 WEBBER AVE, SOUTH HEMPSTEAD, NY 11550-7830
(516) 314-2652
(516) 505-7393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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