South Bay Counseling, Lcsw PC
NPI #1992112510 in Amityville, New York
Provider Information
- NPI Number
- 1992112510
- Entity Type
- Organization
- Organization Name
- South Bay Counseling, Lcsw PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 15, 2014
- Last Updated
- May 5, 2017
Practice Location
- Address
- 191 BROADWAY
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-2790
- Phone
- (631) 264-0058
Authorized Official
- Name
- ELISSA GRUNBLATT, LCSW-R
- Title
- PRESIDENT/OWNER
- Phone
- (631) 264-0058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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