OrganizationActive
Advanced Counseling Resources Lcsw PLLC
NPI 1407029549 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jericho, NY
Provider details
- NPI number
- 1407029549
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ellen Siber, Sole Member(516) 931-7367
- License
- R029067-1 (NY)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense R029067-1 (NY)
Ambulatory Health Care Facilities
Practice location
10 Friendly Ln
Jericho, NY 11753-2331
Phone: (516) 931-7367
Fax: (516) 938-5400
Approximate (ZIP-level) locationGet directions
Mailing address
10 Friendly Ln
Jericho, NY 11753-2331
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2008-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.