Provider Demographics
NPI:1629687595
Name:THE BODY PLACE MENTAL HEALTH COUNSELING P.C.
Entity Type:Organization
Organization Name:THE BODY PLACE MENTAL HEALTH COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-619-6491
Mailing Address - Street 1:333 HEMPSTEAD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1242
Mailing Address - Country:US
Mailing Address - Phone:516-619-6491
Mailing Address - Fax:
Practice Address - Street 1:333 HEMPSTEAD AVE STE 203
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1242
Practice Address - Country:US
Practice Address - Phone:516-619-6491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty