Organization
GLOW MENTAL HEALTH COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY OCASIO (OWNER)
(631) 394-1891
Entity
Organization
Contact information
Practice address
41 RISLEY RD, PATCHOGUE, NY 11772-1525
(631) 394-1891
Mailing address
41 RISLEY RD, PATCHOGUE, NY 11772-1525
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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