| Suffolk County Therapeutic Counseling,llc | |
|
15 Horseblock Pl Farmingville NY 11738-1204 | |
| (631) 854-2571 | |
| Not Available |
| Full Name | Suffolk County Therapeutic Counseling,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Horseblock Pl, Farmingville, New York |
| Authorized Official Name and Position | Sean Stewart (SOCIAL WORKER CLINICAL) |
| Authorized Official Contact | 6317473201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk County Therapeutic Counseling,llc 15 Horseblock Pl Farmingville NY 11738-1204 Ph: (631) 854-2571 | Suffolk County Therapeutic Counseling,llc 15 Horseblock Pl Farmingville NY 11738-1204 Ph: (631) 854-2571 |
| NPI Number | 1518544436 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518544436 | NPI | - | NPPES |
| 1851674295 | Other | NY | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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