Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Suffolk Counseling LCSW PLLC

Organization Community/Behavioral Health Agency · NPI 1639529266

Eastern Suffolk Counseling LCSW PLLC is a Community/Behavioral Health Agency in Saint James, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

551 N Country Rd Ste 203
Saint James, NY 11780-1445
Phone: (631) 504-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence R078941-1 (NY)

Record details

NPI number1639529266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Girard-Domena — Clinical Dorector · (631) 504-2102
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing addressPo Box 150, Centereach, NY 11720-0150

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