Provider Demographics
NPI:1740648161
Name:BEHAVIORAL HEALTH CONSULTING SERVICES LMSW, PLLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH CONSULTING SERVICES LMSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1800-334-1599
Mailing Address - Street 1:19 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3006
Mailing Address - Country:US
Mailing Address - Phone:180-033-4159
Mailing Address - Fax:180-033-4159
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:180-033-4159
Practice Address - Fax:180-033-4159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072103251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health