Provider Demographics
NPI:1134686447
Name:INSTITUTE FOR EMOTIONAL HEALTH
Entity Type:Organization
Organization Name:INSTITUTE FOR EMOTIONAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRIES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-621-0036
Mailing Address - Street 1:33 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1714
Mailing Address - Country:US
Mailing Address - Phone:516-640-9766
Mailing Address - Fax:516-621-0036
Practice Address - Street 1:33 SOUTH ST
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1714
Practice Address - Country:US
Practice Address - Phone:516-640-9766
Practice Address - Fax:516-621-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty