CLUB MENTAL HEALTH COUNSELING SERVICES P.C. NPI 1982912929

NPI Information

NPI: 1982912929
Provider Name: CLUB MENTAL HEALTH COUNSELING SERVICES, P.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
272 ADA DR
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 873-3189
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CLUB MENTAL HEALTH COUNSELING SERVICES, P.C. is a mental health counselor in Staten Island, NY. CLUB MENTAL HEALTH COUNSELING SERVICES, P.C. NPI is 1982912929. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

272 ADA DR
STATEN ISLAND, NY
ZIP 10314-434
Phone: (718) 873-3189
Fax: (718) 982-8508

The provider's authorized official is Leslie B Martin .
The authorized official title is President and has the following contact phone number (718) 873-3189.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 9/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	001024-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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