Organization
COUNSELING AND COACHING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY I GORSKY LMHC, CAMS-I (MENTAL HEALTH THERAPIST)
(646) 764-6562
Entity
Organization
Contact information
Practice address
482 BARD AVE FL 3, STATEN ISLAND, NY 10310-2105
(646) 764-6562
Mailing address
482 BARD AVE FL 3, STATEN ISLAND, NY 10310-2105
(646) 764-6562
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
001590
NY
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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