Healthcare Provider Details

I. General information

NPI: 1659253375
Provider Name (Legal Business Name): SYNERGY COUNSELING LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MCKOWN RD STE 202
ALBANY NY
12203-3496
US

IV. Provider business mailing address

10 MCKOWN RD STE 202
ALBANY NY
12203-3496
US

V. Phone/Fax

Practice location:
  • Phone: 518-466-3100
  • Fax:
Mailing address:
  • Phone: 518-466-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANE E LYKES
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 518-466-3100