Provider Demographics
NPI:1689777898
Name:FAMILY COUNSELING SERVICE OF NNY, INC.
Entity Type:Organization
Organization Name:FAMILY COUNSELING SERVICE OF NNY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-782-4483
Mailing Address - Street 1:120 WASHINGTON ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-3330
Mailing Address - Country:US
Mailing Address - Phone:315-782-4483
Mailing Address - Fax:315-785-9210
Practice Address - Street 1:120 WASHINGTON ST
Practice Address - Street 2:SUITE 510
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-3330
Practice Address - Country:US
Practice Address - Phone:315-782-4483
Practice Address - Fax:315-785-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074981251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable