Provider Demographics
NPI:1598153918
Name:CENTRAL NASSAU GUIDANCE AND COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:CENTRAL NASSAU GUIDANCE AND COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R, CASAC-T
Authorized Official - Phone:516-938-7568
Mailing Address - Street 1:998 CROOKED HILL RD
Mailing Address - Street 2:BUILDING 71
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-1019
Mailing Address - Country:US
Mailing Address - Phone:631-532-2746
Mailing Address - Fax:631-822-1123
Practice Address - Street 1:998 CROOKED HILL RD
Practice Address - Street 2:BUILDING 71
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1019
Practice Address - Country:US
Practice Address - Phone:631-532-2746
Practice Address - Fax:631-822-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082405251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health