Organization
GRACE SUH MENTAL HEALTH COUNSELING, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE SUH LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(917) 280-1043
Entity
Organization
Contact information
Practice address
3261 JOHNSON AVE, BRONX, NY 10463-3504
(917) 280-1043
Mailing address
206 E 95TH ST APT 4A, NEW YORK, NY 10128-3816
(917) 280-1043
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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