Organization
LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADELE I AGIN LCSW (EXECUTIVE DIRECTOR)
(718) 350-3110
Entity
Organization
Contact information
Practice address
2626 75TH ST, EAST ELMHURST, NY 11370-1427
(718) 350-3143
(718) 350-3072
Mailing address
2626 75TH ST, EAST ELMHURST, NY 11370-1427
(718) 350-3143
(718) 350-3067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
008745-1
NY
1041C0700X
Clinical Social Worker
073182-01
NY
1041C0700X
Clinical Social Worker
R018908-01
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/20/2006
Last updated
06/25/2020
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