Impact Lcsw Counseling Services, PC
NPI #1972522902 in Lake Grove, New York
Provider Information
- NPI Number
- 1972522902
- Entity Type
- Organization
- Organization Name
- Impact Lcsw Counseling Services, PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2760 MIDDLE COUNTRY RD
- Address 2
- SUITE 1
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2113
- Phone
- (631) 467-3181
Authorized Official
- Name
- CAROL A BRUNJES, LCSW-R
- Title
- CEO/CLINICAL DIRECTOR
- Phone
- (631) 467-3181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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