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NPI Code Detail

MEDICARE: HEART IN MIND INTEGRATIVE PSYCHOTHERAPY

MEDICARE: HEART IN MIND INTEGRATIVE PSYCHOTHERAPY
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 Counselor

General Provider Information

NPI Number : 1437944535
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART IN MIND INTEGRATIVE PSYCHOTHERAPY
Provider Business Mailing Address
First Line : 68 S SERVICE RD STE 100
Second Line :
City : MELVILLE
State : NY
Zip : 11747-2350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 68 S SERVICE RD STE 100
Second Line :
City : MELVILLE
State : NY
Zip : 11747-2350
Country : US
Telephone Number : 516-430-8362
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHANTAL VICE
Credential :
Telephone Number : 917-538-7632
Provider Enumeration Date : 04/10/2025
Last Update Date : 02/09/2026

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Directions to “HEART IN MIND INTEGRATIVE PSYCHOTHERAPY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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