# CHILD & FAMILY GUIDANCE CENTER ADDICTION SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Step One
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134140809
- **Authorized official:** SUSAN MAYER (BILLING DIRECTOR)
- **Authorized official phone:** (347) 404-8794

## Contact information

- **Practice address:** 106 VINEYARD AVE, HIGHLAND, NY 12528-1422
- **Practice address phone:** (845) 691-9191
- **Practice address fax:** (845) 691-6993
- **Mailing address:** 106 VINEYARD AVE, HIGHLAND, NY 12528-1422
- **Mailing address phone:** (845) 691-9191
- **Mailing address fax:** (845) 691-6993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TF0000X | Family Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 103TR0400X | Rehabilitation Psychologist | — | NULL | — |
| 103TR0400X | Rehabilitation Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | NULL | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 05/28/2025
