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Organization
OLIVE OAK MENTAL HEALTH COUNSELING SERVICES PC
Active
Organization
OLIVE OAK MENTAL HEALTH COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BURGOS LMHC (CEO AND CLINICAL ADMINISTRATOR)
(917) 439-8027
Entity
Organization
Contact information
Practice address
669 MAIN ST UNIT 505, NEW ROCHELLE, NY 10801-7101
(917) 438-8027
Mailing address
669 MAIN ST UNIT 505, NEW ROCHELLE, NY 10801-7101
(917) 438-8027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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