Koutouzis, Georgia
Koutouzis, Georgia is an individual health care provider with primary practice located at 425 Old Town Rd Fl 1 , Port Jefferson Station NY 11776-3627. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Koutouzis, Georgia can be contacted via phone (631) 209-7042.Contact Information
Primary practice address
425 Old Town Rd Fl 1
Port Jefferson Station NY 11776-3627
Phone: (631) 209-7042
Fax: (631) 840-4780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 101705 | New York |
Profile Details
| NPI number | 1265943989 |
|---|---|
| LBN Legal business name | Koutouzis, Georgia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2017 |
| Last updated | Oct 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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