Healthcare Provider Details

I. General information

NPI: 1497176358
Provider Name (Legal Business Name): HEAD IN THE RIGHT DIRECTION COUNSELING SERVICES LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2013
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHESTNUT ST FL 2
COLD SPRING NY
10516-2516
US

IV. Provider business mailing address

PO BOX 155
GARRISON NY
10524-0155
US

V. Phone/Fax

Practice location:
  • Phone: 845-335-5615
  • Fax: 845-335-5616
Mailing address:
  • Phone: 845-335-5615
  • Fax: 845-335-5616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ADAM BARTA
Title or Position: PRESIDENT
Credential: LCSW
Phone: 845-335-5615