Provider Demographics
NPI:1669679627
Name:SAMARITAN COUNSELING CENTER OF THE MOHAWK VALLEY, INC.
Entity Type:Organization
Organization Name:SAMARITAN COUNSELING CENTER OF THE MOHAWK VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARCURI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:315-724-5173
Mailing Address - Street 1:28 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-3804
Mailing Address - Country:US
Mailing Address - Phone:315-735-2130
Mailing Address - Fax:
Practice Address - Street 1:1643 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4733
Practice Address - Country:US
Practice Address - Phone:315-724-5173
Practice Address - Fax:315-724-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty