South Shore Mental Health Counseling Services,pc

NPI #1366890949 in East Islip, New York

Provider Information

NPI Number: 1366890949
Entity Type: Organization
Organization Name: South Shore Mental Health Counseling Services,pc
Primary Specialty: Counselor - Professional
Enumeration Date: May 24, 2016
Last Updated: Apr 25, 2021

Practice Location

Address: 200 CARLETON AVE STE D
City: East Islip
State: New York
ZIP Code: 11730-1222
Phone: (631) 579-3503

Authorized Official

Name: KENNETH J ROCHE
Title: DIRECTOR
Phone: (631) 235-4481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Counselor - Professional — Professional	101YP2500X	Primary

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