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Organization
NEW CREATION CHRISTIAN COUNSELING & PROFESSIONAL SERVICES
Active
Organization
NEW CREATION CHRISTIAN COUNSELING & PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENE ALEXIA SMALLING (SECRETARY)
(516) 795-0009
Entity
Organization
Contact information
Practice address
10 OZONE PL, MASSAPEQUA, NY 11758-6817
(516) 795-0009
(516) 797-8850
Mailing address
10 OZONE PL, MASSAPEQUA, NY 11758-6817
(516) 795-0009
(516) 797-8850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R057190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000530050201
HEALTH PLUS
NY
05
—
02385546
—
NY
01
—
057190-N01
HIP
NY
01
—
127123
VYTRA HEALTH PLANS
NY
01
—
1826607
CIGNA
NY
01
—
269983
MHN
NY
01
—
370673
HARMONY BEHAVIORAL HEALTH
NY
01
—
413031
VALUE OPTIONS
NY
01
—
6238574
UBH
NY
01
—
747-9139
GHI
—
01
—
7797384
AETNA
NY
01
—
IP573503
MAGELLAN
NY
01
—
N5V961
EMPIRE BC/BS
NY
01
—
N90706
HEALTH NET
NY
01
—
P1020668
OXFORD
NY
01
—
R057190-A37
HEALTH FIRST
NY
Enumeration date
04/16/2008
Last updated
07/11/2008
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