CLM WELLNESS CENTER INC


Address: 5-31 50 Th Ave, Lic, NY 11101
Phone: 7182135635

CLM WELLNESS CENTER INC (NPI# 1013250299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013250299
Entity Type Organization
Organization Name CLM WELLNESS CENTER INC
Practice Address 5-31 50 Th Ave
Lic
NY 11101
Practice Telephone 7182135635
Practice Fax Number 7184722733
Mailing Telephone 7182135635
Mailing Fax Number 7184722733
Enumeration Date 2013-04-05
Last Update Date 2013-04-05
Authorized Official Name MRS. CHRISTA LOUISE MURPHY (THERAPIST)
Authorized Official Telephone 7182135635
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
076563 NY Ambulatory Health Care Facilities

Office Location

Street Address 5-31 50 TH AVE
City LIC
State NY
Zip Code 11101

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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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Competitor

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City LIC
Zip Code 11101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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