Provider Demographics
NPI:1467868356
Name:SOLUTIONS COUNSELING LCSW PLLC
Entity Type:Organization
Organization Name:SOLUTIONS COUNSELING LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELYSSA
Authorized Official - Middle Name:JODI
Authorized Official - Last Name:YOOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-543-8877
Mailing Address - Street 1:6500 JERICHO TPKE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2909
Mailing Address - Country:US
Mailing Address - Phone:631-543-8877
Mailing Address - Fax:631-543-8886
Practice Address - Street 1:6500 JERICHO TPKE
Practice Address - Street 2:SUITE 217
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2909
Practice Address - Country:US
Practice Address - Phone:631-543-8877
Practice Address - Fax:631-543-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05639611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty