Crescent Light Counseling, Lcsw, Pllc

LBN: Crescent Light Counseling, Lcsw, Pllc
Crescent Light Counseling, Lcsw, Pllc is an health care organization with primary practice located at 646 Main St Ste 102 , Port Jefferson NY 11777-2230. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Crescent Light Counseling, Lcsw, Pllc can be contacted via phone (631) 772-9395, or through Schultz, Taylor via phone (631) 617-3696.

Contact Information

Primary practice address
646 Main St Ste 102 Port Jefferson NY 11777-2230
Phone: (631) 772-9395
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Taylor Licensed Clinical Social Worker (LCSW)
Phone: (631) 617-3696

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275280620
LBN Legal business name Crescent Light Counseling, Lcsw, Pllc
DBA Doing business as
Authorized official Schultz, Taylor Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2022
Last updated Mar 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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