Healthcare Provider Details

I. General information

NPI: 1538739347
Provider Name (Legal Business Name): MEQA COUNSELING & CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LANDFIELD AVE
MONTICELLO NY
12701-1326
US

IV. Provider business mailing address

50 LANDFIELD AVE
MONTICELLO NY
12701-1326
US

V. Phone/Fax

Practice location:
  • Phone: 845-665-8588
  • Fax: 845-707-4221
Mailing address:
  • Phone: 845-665-8588
  • Fax: 845-707-4221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSE LEE HINTON
Title or Position: AUTHORIZED OFFICIAL
Credential: LCSW
Phone: 845-866-8588