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EASTERN SUFFOLK COUNSELING LCSW PLLC
NPI 1639529266
Community/Behavioral Health in Saint James, NY

Active since June 14, 2016
551 N COUNTRY RD, SUITE 203, SAINT JAMES, NY 11780(631) 504-2102 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Suffolk Counseling Lcsw Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN SUFFOLK COUNSELING LCSW PLLC (NPI 1639529266) is a healthcare organization registered as a community/behavioral health in Saint James, New York and active in the NPI registry since June 2016. The organization lists Richard Girard-domena, Clinical Dorector, as its authorized official.

NPPES Registry Identity

NPI1639529266
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTERN SUFFOLK COUNSELING LCSW PLLC
Location Address551 N COUNTRY RD, SUITE 203Saint James, NY 11780-1445
Mailing AddressPo Box 150Centereach, NY 11720-0150 · (631) 504-2102 · Fax (631) 686-5807
Phone(631) 504-2102
Organization SubpartNo
Authorized OfficialRichard Girard-domenaClinical Dorector · (631) 504-2102
Enumeration DateJune 14, 2016
✔ NPI 1639529266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NY · R078941-1
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
551 N COUNTRY RD, Saint James, NY 11780
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL GIRARD-DOMENA LCSW
Social Worker (Clinical)
551 N COUNTRY RD
SAINT JAMES, NY 11780
Suffolk County (631) 974-5052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Suffolk Counseling Lcsw PLLC's NPI number?

The NPI number for Eastern Suffolk Counseling Lcsw PLLC is 1639529266. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Eastern Suffolk Counseling Lcsw PLLC located?

Eastern Suffolk Counseling Lcsw PLLC is located at 551 N Country Rd Suite 203, Saint James, NY 11780. The listed phone number is (631) 504-2102.

What is Eastern Suffolk Counseling Lcsw PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eastern Suffolk Counseling Lcsw PLLC was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.