Provider Demographics
NPI:1184922460
Name:DISCOVERIES THERAPY LCSW, P.C.
Entity type:Organization
Organization Name:DISCOVERIES THERAPY LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:631-921-2595
Mailing Address - Street 1:124 RT. 112
Mailing Address - Street 2:STE. C
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-1232
Mailing Address - Country:US
Mailing Address - Phone:631-714-5123
Mailing Address - Fax:631-714-5124
Practice Address - Street 1:124 RT. 112
Practice Address - Street 2:STE. C
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1232
Practice Address - Country:US
Practice Address - Phone:631-714-5123
Practice Address - Fax:631-714-5124
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISCOVERIES THERAPY LCSW, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0751601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty