| NPI | 1144760505 |
|---|---|
| Doing Business As | LIFE STAGES COUNSELING |
| Entity Type | Organization |
| Authorized Contact | TERESA GRELLA-HILLEBRAND Marriage & Family Therapist 631-327-2508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000155-1) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |