Supportive Space Mental Health Counseling Pllc

NPI #1184450397 in Monroe, New York

Provider Information

NPI Number: 1184450397
Entity Type: Organization
Organization Name: Supportive Space Mental Health Counseling Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 12, 2024
Last Updated: Sep 12, 2024

Practice Location

Address: 76 PINEHURST CIR
City: Monroe
State: New York
ZIP Code: 10950-5567
Phone: (212) 518-4644

Authorized Official

Name: COLETTE CASSIDY, LMHC
Title: CEO
Phone: (212) 518-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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