Individual provider · Type 1 NPI

Theresa Eaves

Mental Health Counselor · Mineola, NY

NPI number 1003432196 Active

Practice location

410 E Jericho Tpke
Mineola, NY 11501-2112

Call (347) 687-6616 Map

Mailing address

192 Throop Ave Apt 1
Brooklyn, NY 11206-5334

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003432196

Theresa Eaves's National Provider Identifier is 1003432196, issued on Jun 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mineola, NY. The record was last updated on Jul 2, 2020.