Organization
COUNTY OF CHENANGO
Active
Other names
Harry Stack Sullivan Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA GORDEYEVA LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
(607) 337-1600
Entity
Organization
Contact information
Practice address
5 COURT ST, SUITE 42, COUNTY OFFICE BUILDING, NORWICH, NY 13815-1695
(607) 337-1602
(607) 334-4519
Mailing address
5 COURT ST, SUITE 42, COUNTY OFFICE BUILDING, NORWICH, NY 13815-1695
(607) 337-1602
(607) 334-4519
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6861100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581246
—
NY
Enumeration date
07/04/2006
Last updated
10/14/2025
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