Organization
CENTER ROCK MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANEGIE BADETTE LMHC (OWNER)
(917) 912-2925
Entity
Organization
Contact information
Practice address
16 MIDDLE NECK RD STE 537, GREAT NECK, NY 11021-2357
(917) 912-2925
Mailing address
105 W HUDSON ST, LONG BEACH, NY 11561-1924
(917) 912-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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