Impact Counseling Services I, Inc
Impact Counseling Services I, Inc is a Community/Behavioral Health Agency in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2760 Middle Country Rd Ste 1Lake Grove, NY 11755-2113
Phone: (631) 467-3182
Fax: (631) 467-3178
Show map & directions
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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 080411616 (NY) |
|---|
Record details
| NPI number | 1760694947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Brunjes — Ceo Clinical Director · (631) 467-3182 |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | April 22, 2015 |
| Mailing address | 2760 Middle Country Rd, Suite 1, Lake Grove, NY 11755-2113 |