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Organization
MIND-BODY AND INNER-SELF MENTAL HEALTH COUNSELING PLLC
Active
Organization
MIND-BODY AND INNER-SELF MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA IVEY-TOURE LMHC, CASAC (EXCUTIVE DIRECTOR)
(718) 362-0615
Entity
Organization
Contact information
Practice address
11929 80TH RD, KEW GARDENS, NY 11415-1105
(718) 362-0615
Mailing address
15206 123RD AVE, JAMAICA, NY 11434-2311
(718) 362-0615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002536
NY
101YM0800X
Mental Health Counselor
2579
NY
Other
Enumeration date
11/01/2008
Last updated
06/02/2024
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