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Organization
WILEY MARRIAGE AND FAMILY THERAPY PLLC
Active
Organization
WILEY MARRIAGE AND FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILEY LMFT (OWNER)
(516) 476-6545
Entity
Organization
Contact information
Practice address
100 N VILLAGE AVE STE 27, ROCKVILLE CENTRE, NY 11570-3712
(516) 696-3700
Mailing address
114 EVERGREEN AVE FL 2, LYNBROOK, NY 11563-3162
(516) 476-6545
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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