Organization
BIOFEEDBACK, MENTAL HEALTH COUNSELING AND CREATIVE ARTS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ANTELIS M.P.S., LMHC (PRESIDENT)
(516) 825-6567
Entity
Organization
Contact information
Practice address
211 BROADWAY STE 207, LYNBROOK, NY 11563-3290
(516) 825-6567
(516) 825-6567
Mailing address
211 BROADWAY STE 207, LYNBROOK, NY 11563-3290
(516) 825-6567
(516) 825-6567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699860940
NATIONAL PROVIDER IDENTIFIER
NY
Enumeration date
03/29/2018
Last updated
03/29/2018
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