Organization
COUNSELING SERVICES, LLC
Active
Organization
COUNSELING SERVICES, LLC
Active
Other names
Marilyn Green
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN GREEN LCSW-R (ADMINSITRATOR)
(845) 473-2175
Entity
Organization
Contact information
Practice address
29 TRUSSUM DRIVE, MAGNOLIA, DE 19962
(845) 578-3178
(302) 469-5420
Mailing address
P.O. BOX 168, FELTON, DE 19943
(845) 518-3178
(302) 469-5420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RO46741-1
NY
1041C0700X
Clinical Social Worker
Primary
RO46741-1
NY
251S00000X
Community/Behavioral Health Agency
RO46741-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572870
—
NY
01
—
126431
VALUE OPTIONS
—
01
—
126481
VALUE OPTIONS
NY
01
—
330597
WELLCARE
NY
01
—
420848
MHN
NY
01
—
617995
MVP
NY
01
—
NOMO81
MEDICARE NUMBER
NY
01
—
P2564857
OXFORD
NY
Enumeration date
10/09/2011
Last updated
09/22/2023
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