Organization
1 INTEGRAL MENTAL HEALTH COUNSELING PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE D TOLLI-ABRAHAM LMHC (CLINICAL DIRECTOR)
(929) 522-0631
Entity
Organization
Contact information
Practice address
9609 40TH RD, CORONA, NY 11368-2138
(929) 522-0631
Mailing address
9609 40TH RD, CORONA, NY 11368-2138
(929) 522-0631
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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