Individual provider · Type 1 NPI
Jenice Burgos, LMSW
Adult Mental Health Clinic/Center · Brooklyn, NY
NPI number
1174297865
Active
Practice location
760 Broadway # 5A206
Brooklyn, NY 11206-5383
Fax (718) 630-3138
Mailing address
1450 Gates Ave Apt 1R
Brooklyn, NY 11237-5669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 107043 (NY) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Other adult mental health clinic/center providers in Brooklyn
About NPI 1174297865
Jenice Burgos, LMSW's National Provider Identifier is 1174297865, issued on Aug 5, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 5, 2021.