OrganizationActive
Counseling and Coaching Center
NPI 1023470978 · Adult Mental Health Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1023470978
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Gorsky, Mental Health Therapist(646) 764-6562
- License
- 001590 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
482 Bard Ave Fl 3
Staten Island, NY 10310-2105
Phone: (646) 764-6562
Approximate (ZIP-level) locationGet directions
Mailing address
482 Bard Ave Fl 3
Staten Island, NY 10310-2105
Registry dates
- Enumerated
- 2016-03-21
- Last updated
- 2016-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.