Cerulean Willow Mental Health Counseling PLLC
Cerulean Willow Mental Health Counseling PLLC is an Addiction (Substance Use Disorder) Counselor in Port Jefferson, New York. Works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1227 Main St Ste 302Port Jefferson, NY 11777-2227
Phone: (631) 512-3079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 153 Main St, Cold Spring Harbor, NY 11724-1437 — (631) 512-3079
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1427749688 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daisy Rodriguez — Founder · (631) 512-3079 |
| NPI enumerated | May 18, 2023 |
| Last updated in NPPES | October 24, 2023 |
| Certification date | October 24, 2023 |
| Mailing address | Po Box 685, Oyster Bay, NY 11771-0685 |
Other providers in Port Jefferson
-
Miss. Joanna Rose Bonura, LMHC, CASAC-2
200 Belle Terre Rd, Port Jefferson, NY 11777-1968 · (631) 474-6981
-
Mr. Dominick Lociero, LMHCLICENSEMENTAL
646 Main St, Port Jefferson, NY 11777 · (631) 880-1370