# SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164757787
- **Authorized official:** MR. KENNETH G. LENT LCSW (OWNER)
- **Authorized official phone:** (631) 474-1533

## Contact information

- **Practice address:** 6 ROOSEVELT AVE STE 2, PORT JEFFERSON STATION, NY 11776-3364
- **Practice address phone:** (631) 474-1533
- **Practice address fax:** (631) 474-1533
- **Mailing address:** 6 ROOSEVELT AVE STE 2, PORT JEFFERSON STATION, NY 11776-3364
- **Mailing address phone:** (631) 474-1533
- **Mailing address fax:** (631) 474-1533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | R048202-1 | NY | Yes |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 05/16/2019