Organization
SILVER LAKE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVRAHAM SCHICK (EXECUTIVE DIRECTOR)
(718) 815-3155
Entity
Organization
Contact information
Practice address
201 FOREST AVE, STATEN ISLAND, NY 10301
(718) 815-3155
Mailing address
201 FOREST AVE, STATEN ISLAND, NY 10301-2763
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/13/2017
Last updated
05/25/2018
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