South Shore Mental Health Counseling Services, PC
South Shore Mental Health Counseling Services, PC is a Professional Counselor in East Islip, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 Carleton Ave Ste DEast Islip, NY 11730-1222
Phone: (631) 579-3503
Fax: (631) 446-1136
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 004685 (NY) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1366890949 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Roche — Director · (631) 235-4481 |
| NPI enumerated | May 24, 2016 |
| Last updated in NPPES | April 25, 2021 |
| Certification date | April 25, 2021 |
| Mailing address | 200 Carleton Ave Ste D, East Islip, NY 11730-1222 |