Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Quiet Place, Mental Health Counseling PC

Organization Mental Health Counselor · NPI 1932708682

My Quiet Place, Mental Health Counseling PC is a Mental Health Counselor in Staten Island, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Graham Blvd Apt A
Staten Island, NY 10305-4005
Phone: (917) 920-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1932708682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marina Krugolets — Clinical Director · (917) 920-3411
Other names Eclectic Psychotherapy Group
NPI enumeratedOctober 23, 2020
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing address115 Graham Blvd Apt A, Staten Island, NY 10305-4005

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