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NPI Code Detail

MEDICARE: VISIONARY MENTAL HEALTH COUNSELING SERVICES, P.C.

MEDICARE: VISIONARY MENTAL HEALTH COUNSELING SERVICES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor002750NY

General Provider Information

NPI Number : 1083842504
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISIONARY MENTAL HEALTH COUNSELING SERVICES, P.C.
Provider Business Mailing Address
First Line : 2108 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-7411
Country : US
Telephone Number : 718-498-9898
Fax Number : 516-546-4447
Provider Business Practice Location Address
First Line : 2108 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-7411
Country : US
Telephone Number : 718-498-9898
Fax Number : 516-546-4447
Authorized Official
Title or Position : PSYD; LMHC; DAPA; BCPC
Name : DR. JEFFERY ANTHONY MCKOY
Credential :
Telephone Number : 718-498-9898
Provider Enumeration Date : 06/23/2009
Last Update Date : 08/21/2009

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Directions to “VISIONARY MENTAL HEALTH COUNSELING SERVICES, P.C. ” Practice Location

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