Organization
WILEY MARRIAGE AND FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILEY LMFT (OWNER)
(516) 476-6545
Entity
Organization
Contact information
Practice address
100 N VILLAGE AVE STE 27, ROCKVILLE CENTRE, NY 11570-3712
(516) 696-3700
Mailing address
114 EVERGREEN AVE FL 2, LYNBROOK, NY 11563-3162
(516) 476-6545
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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