MEDICARE: YOUR BEST SELF COUNSELING MENTAL HEALTH 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	:	1861159865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR BEST SELF COUNSELING MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	2 FALCON WOODS CT
Second Line	:
City	:	BEDFORD
State	:	NY
Zip	:	10506-1321
Country	:	US
Telephone Number	:	646-807-8707
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 FALCON WOODS CT
Second Line	:
City	:	BEDFORD
State	:	NY
Zip	:	10506-1321
Country	:	US
Telephone Number	:	646-807-8707
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN STRICOF
Credential	:	MA EDM
Telephone Number	:	646-807-8707

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	11/24/2021

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