Organization
BRANCH OUT MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA WAGNER LMHC (CO-OWNER)
(914) 255-2075
Entity
Organization
Contact information
Practice address
186 WHITE POND RD, STORMVILLE, NY 12582-5719
(845) 768-2088
Mailing address
455 TARRYTOWN RD STE 1445, WHITE PLAINS, NY 10607-1313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
01/03/2025
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