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NPI Code Detail

MEDICARE: BESTSELF BEHAVIORAL HEALTH, INC.

MEDICARE: BESTSELF BEHAVIORAL HEALTH, INC.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor080510843NY
2101YM0800XMental Health Counselor6783100ANY
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508868407
Entity Type Code : Organization
Provider Name (Legal Business Name) : BESTSELF BEHAVIORAL HEALTH, INC.
Provider Business Mailing Address
First Line : 255 DELAWARE AVE
Second Line : SUITE 300
City : BUFFALO
State : NY
Zip : 14202-2016
Country : US
Telephone Number : 716-842-0440
Fax Number : 716-842-4069
Provider Business Practice Location Address
First Line : 255 DELAWARE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14202-2016
Country : US
Telephone Number : 716-842-0440
Fax Number : 716-842-4069
Authorized Official
Title or Position : PRESIDENT & CEO
Name : ELIZABETH WOIKE-GANGA
Credential : LCSW-R
Telephone Number : 716-842-0440
Provider Enumeration Date : 08/11/2005
Last Update Date : 10/09/2020

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