Organization
QUEENS COUNSELING FOR CHANGE, LCSW, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MENZIE MSW (EXECUTIVE DIRECTOR)
(917) 494-3281
Entity
Organization
Contact information
Practice address
44-61 A 11TH ST, LONG ISLAND CITY, NY 11101-5102
(718) 424-6191
(718) 424-6192
Mailing address
PO BOX 720485, JACKSON HEIGHTS, NY 11372-0485
(718) 424-6191
(718) 424-6192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
091011667
NY
Other
Enumeration date
11/07/2008
Last updated
09/04/2012
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