Provider Demographics
NPI:1558667105
Name:COMPREHENSIVE CLINICAL COUNSELING, LCSW, P,C,
Entity type:Organization
Organization Name:COMPREHENSIVE CLINICAL COUNSELING, LCSW, P,C,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:516-317-6929
Mailing Address - Street 1:97 DAVISON AVENUE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572
Mailing Address - Country:US
Mailing Address - Phone:516-317-6929
Mailing Address - Fax:516-208-7037
Practice Address - Street 1:68 MERRICK ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-317-6929
Practice Address - Fax:516-208-7037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR073980-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty