Organization
VIVA MENTAL HEALTH COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE YESENIA VASCONEZ LMHC (PRESIDENT)
(347) 496-9566
Entity
Organization
Contact information
Practice address
151 N FOREST AVE, ROCKVILLE CENTRE, NY 11570-4305
(347) 496-9566
Mailing address
151 N FOREST AVE, ROCKVILLE CENTRE, NY 11570-4305
(347) 496-9566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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