Organization
SOUTH SHORE COUNSELING, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DIMITRI LCSW (CLINICAL DIRECTOR)
(631) 602-0079
Entity
Organization
Contact information
Practice address
755 MONTAUK HWY, OAKDALE, NY 11769-1801
(631) 602-0079
Mailing address
755 MONTAUK HWY, OAKDALE, NY 11769-1801
(631) 602-0079
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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