Healthcare Provider Details

I. General information

NPI: 1548307242
Provider Name (Legal Business Name): SENIOR HOPE COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 10/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S ALLEN ST
ALBANY NY
12208-2070
US

IV. Provider business mailing address

301 S ALLEN ST
ALBANY NY
12208-2070
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-7777
  • Fax: 518-489-7771
Mailing address:
  • Phone: 518-489-7777
  • Fax: 518-489-7771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number261Q00000X
License Number StateNY

VIII. Authorized Official

Name: DR. NICOLE S. MACFARLAND
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 518-489-7777