Glow Mental Health Counseling P.c.

NPI #1548904220 in Patchogue, New York

Provider Information

NPI Number: 1548904220
Entity Type: Organization
Organization Name: Glow Mental Health Counseling P.c.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 27, 2022
Last Updated: Apr 27, 2022

Practice Location

Address: 41 RISLEY RD
City: Patchogue
State: New York
ZIP Code: 11772-1525
Phone: (631) 394-1891

Authorized Official

Name: COURTNEY OCASIO
Title: OWNER
Phone: (631) 394-1891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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