Organization
TAKE BACK CONTROL MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLA MARIAH MASTRONARDI LMHC (OWNER/COUNSELOR)
(917) 508-2202
Entity
Organization
Contact information
Practice address
10818 QUEENS BLVD STE 704, FOREST HILLS, NY 11375-4755
(917) 508-2202
Mailing address
7033 KESSEL ST, FOREST HILLS, NY 11375-5843
(917) 508-2202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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