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NPI Code Detail

MEDICARE: LIMINAL INTEGRATIVE MENTAL HEALTH COUNSELING, PLLC

MEDICARE: LIMINAL INTEGRATIVE MENTAL HEALTH COUNSELING, PLLC
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 : 1396690392
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIMINAL INTEGRATIVE MENTAL HEALTH COUNSELING, PLLC
Provider Business Mailing Address
First Line : 7624 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2412
Country : US
Telephone Number : 917-410-1110
Fax Number :
Provider Business Practice Location Address
First Line : 7624 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2412
Country : US
Telephone Number : 917-410-1110
Fax Number :
Authorized Official
Title or Position : LICENSED MENTAL HEALTH COUNSELOR
Name : MR. JOHN ANTHONY BRANCATO
Credential : LMHC
Telephone Number : 917-410-1110
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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