Healthcare Provider Details

I. General information

NPI: 1023290830
Provider Name (Legal Business Name): GIFTED COUNSELING SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CROTON POINT AVE
CROTON ON HUDSON NY
10520-3028
US

IV. Provider business mailing address

1 CROTON POINT AVE
CROTON ON HUDSON NY
10520-3028
US

V. Phone/Fax

Practice location:
  • Phone: 914-271-6070
  • Fax:
Mailing address:
  • Phone: 914-271-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberR056001-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH LEE FINN
Title or Position: PRESIDENT
Credential: LCSW-R
Phone: 914-271-6070