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NPI Code Detail

MEDICARE: SARI KLAR MENTAL HEALTH COUNSELING P.C.

MEDICARE: SARI KLAR MENTAL HEALTH COUNSELING 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 Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11104350941OTHERNYNPI

General Provider Information

NPI Number : 1174172431
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARI KLAR MENTAL HEALTH COUNSELING P.C.
Provider Business Mailing Address
First Line : 370 W BROADWAY APT 6Y
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3959
Country : US
Telephone Number : 516-314-3273
Fax Number :
Provider Business Practice Location Address
First Line : 370 W BROADWAY APT 6Y
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3959
Country : US
Telephone Number : 516-314-3273
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : TAMICA M POTTS
Credential : MBA
Telephone Number : 718-697-9330
Provider Enumeration Date : 09/10/2019
Last Update Date : 09/10/2019

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Directions to “SARI KLAR MENTAL HEALTH COUNSELING P.C. ” Practice Location

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