Family Counseling Service
Organization Active NPI Community/Behavioral Health Agency · Westhampton Beach, NY
NPI 1174546402 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1174546402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 9042100A (NY)
- Legal business name
- FAMILY COUNSELING SERVICE
- Practice address
- 40 Main Street
Beinecke Building
Westhampton Beach, NY 11978 - Phone
- (631) 288-1954
- Fax
- (631) 288-1955
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carol Delage
- Title
- Financial Coordinator
- Phone
- (631) 288-1954
Practitioners 8
-
Genevieve Heidrich, LCSW
-
Susan F Lesser, LCSW
-
Linda S. Marks-Potash, R-LCSW
-
Tara Justine McHugh, LMSW
-
Barbara I Miller, LMSW
-
Barbara Roberts, LCSW CASAC
National Provider Directory
Locations
141 Colin Dr
East Yaphank, NY 11967
Phone (631) 205-5820
464 William Floyd Pkwy
#10
Shirley, NY 11967
Phone (631) 288-1954
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 9042100A | NY | Yes |
Addresses
Primary practice location
40 Main Street
Beinecke Building
Westhampton Beach, NY 11978
Mailing address
PO Box 1348
Westhampton Beach, NY 11978
Phone (631) 288-1954
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02056453 | Medicaid | NY |
Other providers in Westhampton Beach, NY
- Lacey Donlon
- Christina M Doubrava
- Timothy Drum
- East End Hospice, Inc
- Alexander Erlikh
- Lauren Felsberg
- Siri Alison Fink
- Allison Finn
- Susan Elaine Fleischmann
- Sierra Forney
All providers in Westhampton Beach, NY · Community/Behavioral Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.