Provider Demographics
NPI:1417066697
Name:SWEET HOLLOW COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:SWEET HOLLOW COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:B JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:RACANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-367-6610
Mailing Address - Street 1:95 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2005
Mailing Address - Country:US
Mailing Address - Phone:631-367-6610
Mailing Address - Fax:516-922-9482
Practice Address - Street 1:95 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2005
Practice Address - Country:US
Practice Address - Phone:631-367-6610
Practice Address - Fax:516-922-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)