Provider Demographics
NPI:1225597768
Name:SHURMATZ COUNSELING LCSW PC
Entity Type:Organization
Organization Name:SHURMATZ COUNSELING LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHURMATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-785-2903
Mailing Address - Street 1:3435 HARLEM RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2021
Mailing Address - Country:US
Mailing Address - Phone:716-785-2903
Mailing Address - Fax:716-271-4585
Practice Address - Street 1:3435 HARLEM RD STE 3
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-2021
Practice Address - Country:US
Practice Address - Phone:716-785-2903
Practice Address - Fax:716-271-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty