Provider Demographics
NPI:1891200382
Name:SOUTHERN TIER COUNSELING SOLUTIONS LCSW PLLC
Entity Type:Organization
Organization Name:SOUTHERN TIER COUNSELING SOLUTIONS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:607-222-5639
Mailing Address - Street 1:383 GLENMARY DR STE 1
Mailing Address - Street 2:
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-2004
Mailing Address - Country:US
Mailing Address - Phone:607-218-2010
Mailing Address - Fax:607-348-1483
Practice Address - Street 1:383 GLENMARY DR STE 1
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-2004
Practice Address - Country:US
Practice Address - Phone:607-218-2010
Practice Address - Fax:607-348-1483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075699-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty