| NPI | 1063192433 |
|---|---|
| Former Legal Business Name | NOUVEAU COUNSELING SERVICES, LCSW PLLC |
| Entity Type | Organization |
| Authorized Contact | TELE CORINNE WILSON Clinical Social Worker 929-356-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-09-13 |