Advanced Mindcare LLC

NPI #1649479817 in Hewlett, New York

Provider Information

NPI Number: 1649479817
Entity Type: Organization
Organization Name: Advanced Mindcare LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 1234 W BROADWAY
Address 2: SUITE 2
City: Hewlett
State: New York
ZIP Code: 11557-1929
Phone: (516) 376-0865

Authorized Official

Name: LYUDMILA PROKHIY, M.S., ED.
Title: OWNER/MEMBER
Phone: (516) 376-0865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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