Organization
ELSBETH EBENHOE LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSBETH EBENHOE LCSW (PROVIDER)
(585) 398-8835
Entity
Organization
Contact information
Practice address
6539 ANTHONY DR STE A, VICTOR, NY 14564-1441
(585) 398-8835
Mailing address
6539 ANTHONY DR STE A, VICTOR, NY 14564-1441
(585) 398-8835
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639684426
NPI #1
NY
Enumeration date
01/31/2023
Last updated
01/31/2023
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