MEDICARE: ATTENTIVE TEACHING. INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	251S00000X	Community/Behavioral Health Agency
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1629753918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE TEACHING. INC

Provider Business Mailing Address
First Line	:	10 MYRTLE AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3505
Country	:	US
Telephone Number	:	516-426-1459
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 MYRTLE AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3505
Country	:	US
Telephone Number	:	516-426-1459
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MS. LORI BELLAN
Credential	:	LMHC
Telephone Number	:	516-426-1459

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/15/2023

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