MEDICARE: CENTERED 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1417789470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERED MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	2896 SHELL RD STE 501
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3609
Country	:	US
Telephone Number	:	929-216-0782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2896 SHELL RD STE 501
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3609
Country	:	US
Telephone Number	:	929-216-0782
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	SHARON MARCIANO
Credential	:	LMHC
Telephone Number	:	929-216-0782

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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