Organization
PODER MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXMI POLANCO LMHC (OWNER)
(646) 470-0639
Entity
Organization
Contact information
Practice address
5030 BROADWAY STE 630, NEW YORK, NY 10034-1611
(646) 470-0639
(516) 490-7472
Mailing address
5030 BROADWAY STE 630, NEW YORK, NY 10034-1611
(646) 470-0639
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/18/2023
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