Doors To Freedom Mental Health Counseling Services, Pllc

Counselor

Behavioral Health & Social Service Providers

1259 Richmond Ave Ste 201, Staten Island, NY 10314-1521

PECOS Enrollment

Based on the most recent information from CMS, provider Doors To Freedom Mental Health Counseling Services, Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1740735471
Provider Type
Organization
Full Name
Doors To Freedom Mental Health Counseling Services, Pllc

Subpart
No
Enumeration Date
8/23/2016
Last Updated
8/23/2016

Contact Information

Practice Location

1259 Richmond Ave Ste 201, Staten Island, NY 10314-1521

(917) 935-2122

Unlisted Fax

Mailing Location

1259 Richmond Ave Ste 201, Staten Island, NY 10314-1521

Unlisted Phone

Unlisted Fax

Authorized Official

Shapiro-Berkovich, Masha (Principal)

(917) 935-2122

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License P92035 New York

Doors To Freedom Mental Health Counseling Services, Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Occhipinti, Isabella

Parascandola, Victoria

Lloyd, Katherine Matilda

Lucchesi, Kristi Antionette

Pello, Mariann Rose

Lucia Falcone Holistic Mental Health Counseling Spp

Fishman, Alyssa

Roberts, Jonathan

Wisniewska, Evelina

Lerner, Jennifer Laura