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Organization
ORCHARD BLUE COUNSELING SERVICES LCSW, PLLC
Active
Organization
ORCHARD BLUE COUNSELING SERVICES LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CERENE L PRINCE LCSW (OWNER/LICENSED CLINICAL SOCIAL WORK)
(516) 341-2727
Entity
Organization
Contact information
Practice address
19019 LINDEN BLVD STE, SAINT ALBANS, NY 11412-3361
(516) 200-1174
(929) 529-7453
Mailing address
19019 LINDEN BLVD STE, SAINT ALBANS, NY 11412-3361
(516) 200-1174
(929) 529-7453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05971531
—
NY
01
—
1700397494
FLORIDA BLUE
FL
01
—
1700397494
FIDELIS
NY
Enumeration date
01/22/2021
Last updated
02/24/2025
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