Provider Demographics
NPI:1477937035
Name:STRONG TOWER CHRISTIAN MENTAL HEALTH COUNSELING SERVICES
Entity Type:Organization
Organization Name:STRONG TOWER CHRISTIAN MENTAL HEALTH COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD
Authorized Official - Phone:631-897-3705
Mailing Address - Street 1:PO BOX 1661
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-0661
Mailing Address - Country:US
Mailing Address - Phone:631-897-3705
Mailing Address - Fax:631-321-8080
Practice Address - Street 1:309 OLD FARMINGDALE RD
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-6425
Practice Address - Country:US
Practice Address - Phone:631-897-3705
Practice Address - Fax:631-321-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004272-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty