| Contemporary Counseling Lcsw,pllc | |
| 
					3930 Richmond Ave Ste 104 Staten Island NY 10312-5104  | |
| (718) 948-1479 | |
| (718) 948-1479 | 
| Full Name | Contemporary Counseling Lcsw,pllc | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 3930 Richmond Ave Ste 104, Staten Island, New York | 
| Authorized Official Name and Position | Lawrence Lieberman (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 7189481479 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Contemporary Counseling Lcsw,pllc 3930 Richmond Ave Ste 104 Staten Island NY 10312-5104 Ph: (718) 948-1479  | Contemporary Counseling Lcsw,pllc 3930 Richmond Ave Ste 104 Staten Island NY 10312-5104 Ph: (718) 948-1479  | 
| NPI Number | 1326458761 | 
|---|---|
| Provider Enumeration Date | 05/07/2014 | 
| Last Update Date | 01/11/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326458761 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006907-1 (New York) | Secondary | 
| 101YM0800X | Counselor - Mental Health | PR024867-1 (New York) | Primary | 
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