Provider Demographics
NPI:1447784798
Name:HARRIS HILL COUNELING LCSW PLLC
Entity Type:Organization
Organization Name:HARRIS HILL COUNELING LCSW PLLC
Other - Org Name:THRIVEWORKS BUFFALO LCSW PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SADKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-458-0055
Mailing Address - Street 1:8612 MAIN STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-458-0055
Mailing Address - Fax:716-328-0015
Practice Address - Street 1:8612 MAIN STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-458-0055
Practice Address - Fax:716-328-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty