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Conscious Connections Lcsw PLLC

Social Worker, Clinical in Stony Brook, NY. Organization (NPI-2).

NPI number1134813553
StatusActive
Last updated in NPPESApr 16, 2025

Details

NPI
1134813553
Entity type
Organization (NPI-2)
Legal business name
Conscious Connections Lcsw PLLC
Organization subpart
No
Enumeration date
Jun 7, 2023
Certification date
Apr 16, 2025
Last updated
Apr 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

6 Malvern Ln
Stony Brook, NY 11790-2816

Phone 631-833-4693

Mailing address

Po Box 893
Brentwood, NY 11717-0993

Authorized official

Ekta Kohli
Owner
6317471265

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