Provider Demographics
NPI:1821701822
Name:SYNERGY THERAPY AND COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:SYNERGY THERAPY AND COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:914-772-8439
Mailing Address - Street 1:167 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1743
Mailing Address - Country:US
Mailing Address - Phone:914-772-8439
Mailing Address - Fax:
Practice Address - Street 1:167 FOREST HILL DR
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1743
Practice Address - Country:US
Practice Address - Phone:914-772-8439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty