Provider Demographics
NPI:1922734441
Name:THE URBAN COUNSELING EXPERIENCE LCSW PLLC
Entity Type:Organization
Organization Name:THE URBAN COUNSELING EXPERIENCE LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & MANAGING CLINICAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-556-3882
Mailing Address - Street 1:972 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-3038
Mailing Address - Country:US
Mailing Address - Phone:347-556-3882
Mailing Address - Fax:
Practice Address - Street 1:972 ADAMS ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-3038
Practice Address - Country:US
Practice Address - Phone:347-556-3882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health