Provider Demographics
NPI:1578342523
Name:CONVENIENT COUNSELING SERVICES
Entity Type:Organization
Organization Name:CONVENIENT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:LINDSEY
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:315-333-7773
Mailing Address - Street 1:4465 E GENESEE ST # 146
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:NY
Mailing Address - Zip Code:13214-2229
Mailing Address - Country:US
Mailing Address - Phone:315-333-7773
Mailing Address - Fax:315-333-7774
Practice Address - Street 1:3608 LAKESIDE RD
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13209-9739
Practice Address - Country:US
Practice Address - Phone:315-333-7773
Practice Address - Fax:315-333-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty