Organization
NEW YORK COUNSELING FOR CHANGE, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MENZIE (OWNER)
(917) 494-3281
Entity
Organization
Contact information
Practice address
3720 74TH ST, 3RD FLOOR, JACKSON HEIGHTS, NY 11372-6338
(718) 424-6191
(718) 424-6192
Mailing address
3720 74TH ST, 3RD FLOOR, JACKSON HEIGHTS, NY 11372-6338
(718) 424-6191
(718) 424-6192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
120211753
NY
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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