| South Shore Mental Health Counseling Services,pc | |
|
200 Carleton Ave Ste D East Islip NY 11730-1222 | |
| (631) 579-3503 | |
| (631) 446-1136 |
| Full Name | South Shore Mental Health Counseling Services,pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 200 Carleton Ave Ste D, East Islip, New York |
| Authorized Official Name and Position | Kenneth J Roche (DIRECTOR) |
| Authorized Official Contact | 6312354481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Mental Health Counseling Services,pc 200 Carleton Ave Ste D East Islip NY 11730-1222 Ph: (631) 579-3503 | South Shore Mental Health Counseling Services,pc 200 Carleton Ave Ste D East Islip NY 11730-1222 Ph: (631) 579-3503 |
| NPI Number | 1366890949 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 04/25/2021 |
| Certification Date | 04/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366890949 | NPI | - | NPPES |
| 1578862728 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 004685 (New York) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Syedqambar R Naqvi Physician P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 West Main Street, East Islip, NY 11730 Phone: 631-688-1015 Fax: 631-688-1700 | |
Sunrise Counselling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 | |
Jodianne Fitzgerald Licensed Mental Health Counselor Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Carleton Ave Ste D, East Islip, NY 11730 Phone: 631-621-8152 | |
Sunrise Counseling Lcsw. Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 Fax: 631-666-1709 | |
Mary Ozegovich Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Suffolk Ln, East Islip, NY 11730 Phone: 631-650-5580 Fax: 631-277-2787 | |
Kristen Briody, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 |