MEDICARE: SEAN BEDFORD, 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508668120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEAN BEDFORD, MENTAL HEALTH COUNSELING, PLLC.

Provider Business Mailing Address
First Line	:	210 PARKVILLE AVE APT 8D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1483
Country	:	US
Telephone Number	:	917-267-8393
Fax Number	:	646-859-5319

Provider Business Practice Location Address
First Line	:	210 PARKVILLE AVE APT 8D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1483
Country	:	US
Telephone Number	:	917-267-8393
Fax Number	:	646-859-5319

Authorized Official
Title or Position	:	OWNER
Name	:	SEAN PAUL BEDFORD
Credential	:	LMHC
Telephone Number	:	917-267-8393

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	03/25/2025

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