NPI 1023470978

Counseling and Coaching Center

Organisation Adult Mental Health Clinic/Center Staten Island, NY

Practice location

Address: 482 Bard Ave Fl 3, Staten Island, NY 10310-2105
Phone: (646) 764-6562

Authorised official

Name: Kelly I Gorsky
Title: Mental Health Therapist
Phone: (646) 764-6562

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 001590 (NY)

Other Clinic/Center providers in New York →

Registry record

NPI: 1023470978
Entity type: Organization
NPI issued: 21 Mar 2016
Record last updated: 21 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.