Provider Demographics
NPI:1598517823
Name:KEKELI COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:KEKELI COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ULYSSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:516-491-0485
Mailing Address - Street 1:112 SOBRO AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2323
Mailing Address - Country:US
Mailing Address - Phone:516-491-0485
Mailing Address - Fax:516-792-5632
Practice Address - Street 1:112 SOBRO AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2323
Practice Address - Country:US
Practice Address - Phone:516-491-0485
Practice Address - Fax:516-792-5632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty