Organization
CONSCIOUS CHANGE MENTAL HEALTH COUNSELING SERVICES PLLC
Active
Other names
Conscious Change Mental Health Counseling Services PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANE PECK (OWNER/PROVIDER)
(929) 260-1363
Entity
Organization
Contact information
Practice address
184 GURLEY AVE, STATEN ISLAND, NY 10308-1505
(929) 260-1363
Mailing address
184 GURLEY AVE, STATEN ISLAND, NY 10308-1505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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