Provider Demographics
NPI:1497137665
Name:SILAGY FAMILY COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:SILAGY FAMILY COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILAGY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:516-640-2339
Mailing Address - Street 1:54 ALLYNDALE DR
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-5101
Mailing Address - Country:US
Mailing Address - Phone:516-640-2339
Mailing Address - Fax:
Practice Address - Street 1:54 ALLYNDALE DR
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-5101
Practice Address - Country:US
Practice Address - Phone:516-640-2339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002339101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty