Organization
NEW YORK COUNSELING FOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MENZIE LCSW (OWNER)
(917) 494-3281
Entity
Organization
Contact information
Practice address
3046 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2816
(718) 424-6191
(212) 896-6530
Mailing address
12333 83RD AVE APT 705, KEW GARDENS, NY 11415-3435
(917) 494-3281
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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