Organization
KAYLAS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GREEN LMHC (CEO)
(845) 513-5754
Entity
Organization
Contact information
Practice address
41 SHELDON DR, MONTICELLO, NY 12701-4122
(845) 513-5754
(914) 292-3422
Mailing address
41 SHELDON DR, MONTICELLO, NY 12701-4122
(845) 513-5754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
01/16/2024
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