| Our Village Services Llc | |
|
1525 Western Ave Ste 1 Albany NY 12203-3537 | |
| (518) 629-5409 | |
| Not Available |
| Full Name | Our Village Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1525 Western Ave Ste 1, Albany, New York |
| Authorized Official Name and Position | Tanya Henderson (FOUNDER & CEO) |
| Authorized Official Contact | 5186295409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Village Services Llc 108b Vandenburgh Pl Troy NY 12180-6040 Ph: (518) 629-5409 | Our Village Services Llc 1525 Western Ave Ste 1 Albany NY 12203-3537 Ph: (518) 629-5409 |
| NPI Number | 1821637422 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 02/12/2021 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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