Community Counseling Too Lcsw Services PLLC
Social Worker, Clinical in Mastic Beach, NY. Organization (NPI-2).
NPI number1619707650
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1619707650
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Counseling Too Lcsw Services PLLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2024
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- PLLC (Other Name)
Practice location
468 Main StMastic Beach, NY 11951-3407
Phone 631-294-0216 · Fax 631-772-6221
Mailing address
468 Main StMastic Beach, NY 11951-3407
Phone 631-300-7910 · Fax 631-772-6221
Authorized official
Holly Lee Gordon
Excutive Director
6312940216
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All 8 Clinical Social Worker providers in Mastic Beach · All 193 providers in Mastic Beach
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