South Shore Mental Health Counseling Services, PC
South Shore Mental Health Counseling Services, PC provides Professional Counselor services 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 |