| Counseling Associates Of Long Island,inc. | |
|
727 N Broadway Ste A2 Massapequa NY 11758-2348 | |
| (516) 797-4851 | |
| Not Available |
| Full Name | Counseling Associates Of Long Island,inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 727 N Broadway Ste A2, Massapequa, New York |
| Authorized Official Name and Position | Winsome Shirley Brown-cooke (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5167974851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Long Island,inc. 727 N Broadway Ste A2 Massapequa NY 11758-2348 Ph: (516) 797-4851 | Counseling Associates Of Long Island,inc. 727 N Broadway Ste A2 Massapequa NY 11758-2348 Ph: (516) 797-4851 |
| NPI Number | 1790166254 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790166254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0404451 (New York) | Primary |
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