| Highland Counseling Services Lcsw Llc | |
|
585 Rte. 55 Eldred NY 12732 | |
| (845) 699-8036 | |
| Not Available |
| Full Name | Highland Counseling Services Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 585 Rte. 55, Eldred, New York |
| Authorized Official Name and Position | Gloria Dawn Lorentzen (CLINICAL DIRECTOR SOCIAL WORKER) |
| Authorized Official Contact | 8456998036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Counseling Services Lcsw Llc Po Box 265 Eldred NY 12732-0265 Ph: (845) 699-8036 | Highland Counseling Services Lcsw Llc 585 Rte. 55 Eldred NY 12732 Ph: (845) 699-8036 |
| NPI Number | 1013944396 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013944396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P061519 (New York) | Primary |
White Tara Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 45 Clark Rd, Eldred, NY 12732 Phone: 845-741-8898 |