South Shore Mental Health Counseling Services,Pc

LBN: South Shore Mental Health Counseling Services,Pc
South Shore Mental Health Counseling Services,Pc is an health care organization with primary practice located at 200 Carleton Ave Ste D , East Islip NY 11730-1222. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. South Shore Mental Health Counseling Services,Pc can be contacted via phone (631) 579-3503, or through Roche, Kenneth J via phone (631) 235-4481.

Contact Information

Primary practice address
200 Carleton Ave Ste D East Islip NY 11730-1222
Phone: (631) 579-3503
Fax: (631) 446-1136
Website:
Map and Directions
Authorized official contact:
Name: Roche, Kenneth J
Phone: (631) 235-4481

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 004685 New York
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1366890949
LBN Legal business name South Shore Mental Health Counseling Services,Pc
DBA Doing business as
Authorized official Roche, Kenneth J
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2016
Last updated Apr 25th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366890949 NPPES
Other 1578862728 NPI

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