Mirabello, Jessica
Mirabello, Jessica is an individual health care provider with primary practice located at 500 Bi County Blvd Ste 450 , Farmingdale NY 11735-3995. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mirabello, Jessica can be contacted via phone (718) 264-1640.Contact Information
Primary practice address
500 Bi County Blvd Ste 450
Farmingdale NY 11735-3995
Phone: (718) 264-1640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC01065500 | New Jersey |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 004593 | New York |
Profile Details
| NPI number | 1477060374 |
|---|---|
| LBN Legal business name | Mirabello, Jessica |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2018 |
| Last updated | Sep 27th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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