| Orchard Blue Counseling Services Lcsw, Pllc | |
|
19019 Linden Blvd Ste Saint Albans NY 11412-3361 | |
| (516) 200-1174 | |
| (929) 529-7453 |
| Full Name | Orchard Blue Counseling Services Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19019 Linden Blvd Ste, Saint Albans, New York |
| Authorized Official Name and Position | Cerene L Prince (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 5163412727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Blue Counseling Services Lcsw, Pllc 19019 Linden Blvd Ste Saint Albans NY 11412-3361 Ph: (516) 200-1174 | Orchard Blue Counseling Services Lcsw, Pllc 19019 Linden Blvd Ste Saint Albans NY 11412-3361 Ph: (516) 200-1174 |
| NPI Number | 1831789957 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831789957 | NPI | - | NPPES |
| 05971531 | Medicaid | NY | |
| 1700397494 | Other | NY | FIDELIS |
| 1700397494 | Other | FL | FLORIDA BLUE |
| 1700397494 | Other | NY | OPTUM |
| 1700397494 | Other | NY | BEACON HEALTH OPTIONS |
| 1700397494 | Other | NY | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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