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Organization
PHOENIX WITHIN MENTAL HEALTH COUNSELING LLC
Active
Organization
PHOENIX WITHIN MENTAL HEALTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIELLE MARIE RICCA-CALDON LMHC (OWNER/PROVIDER)
(917) 581-2834
Entity
Organization
Contact information
Practice address
775 PARK AVE STE 255, HUNTINGTON, NY 11743-7538
(917) 699-8794
Mailing address
775 PARK AVE STE 380, HUNTINGTON, NY 11743-7573
(917) 699-8794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
02/08/2024
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