Lifeskillsandpsychotherapy Services, Pc in Port Jefferson Stati - Clinical
Lifeskillsandpsychotherapy Services, Pc - NPI 1396870820
Lifeskillsandpsychotherapy Services, Pc is a Clinical in Port Jefferson Stati, New York. Lifeskillsandpsychotherapy Services, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lifeskillsandpsychotherapy Services, Pc is 1396870820. The last update date is 2020-08-22.
Lifeskillsandpsychotherapy Services, Pc's current location address is 1050 Hallock Ave, Port Jefferson Stati, New York. You can contact this provider via phone number 6314672554 and fax number 6314676649. The mailing address for Lifeskillsandpsychotherapy Services, Pc is 1050 Hallock Ave, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifeskillsandpsychotherapy Services, Pc |
|---|---|
| Address | 1050 Hallock Ave, Port Jefferson Stati, New York |
| Phone Number | 6314672554 |
| Fax Number | 6314676649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DIRE |
|---|---|
| Authorized Official Name | Seaman O. Diane |
| Credentials | LCSW,ACSW, |
| Telephone Number | 6314672554 |
NPI Number Detail
| NPI Number | 1396870820 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1050 Hallock Ave |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117761214 |
| Phone Number | 6314672554 |
| Fax Number | 6314676649 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code assigned to Lifeskillsandpsychotherapy Services, Pc by the Centers for Medicare & Medicaid Services?
The Lifeskillsandpsychotherapy Services, Pc has been issued the NPI (National Provider Identifier) 1396870820, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lifeskillsandpsychotherapy Services, Pc located?
The Lifeskillsandpsychotherapy Services, Pc is located at 1050 Hallock Ave, Port Jefferson Stati, NY 117761214.
What is the Lifeskillsandpsychotherapy Services, Pc's specialty and taxonomy code?
The Lifeskillsandpsychotherapy Services, Pc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1396870820 assigned to Lifeskillsandpsychotherapy Services, Pc?
The Lifeskillsandpsychotherapy Services, Pc was issued its 1396870820 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lifeskillsandpsychotherapy Services, Pc most recently updated or refreshed?
The details pertaining to the Lifeskillsandpsychotherapy Services, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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