Selff Recovery Coaching
LBN: Selff Recovery Coaching
Selff Recovery Coaching is an health care organization with primary practice located at 2150 E Tremont Ave Apt 5G , Bronx NY 10462-5732. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Selff Recovery Coaching can be contacted via phone (917) 383-5753, or through Mitchell, Tylie Yolander via phone (191) 738-3575.
Contact Information
Primary practice address
2150 E Tremont Ave Apt 5G
Bronx NY 10462-5732
Phone: (917) 383-5753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1164155305 |
|---|---|
| LBN Legal business name | Selff Recovery Coaching |
| DBA Doing business as | |
| Authorized official | Mitchell, Tylie Yolander LP-MHC,CASAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2022 |
| Last updated | Jul 6th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164155305 | NPPES |
| New York | Other | 18102958-01 | FEE FOR SERVICE |
| New York | MEDICAID | 18102958-01 | FEE FOR SERVICE |
| New York | Other | 18102958-01 | FEE FOR SERVICE |
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