Provider Demographics
NPI:1225496045
Name:CHOICES THRU COUNSELING SERVICES LCSW PC
Entity Type:Organization
Organization Name:CHOICES THRU COUNSELING SERVICES LCSW PC
Other - Org Name:CHOICES THRU COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-214-2705
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-0287
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 ROUTE 22
Practice Address - Street 2:201
Practice Address - City:PAWLING
Practice Address - State:NY
Practice Address - Zip Code:12564-3214
Practice Address - Country:US
Practice Address - Phone:845-372-2868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0754381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty