Healthcare Provider Details

I. General information

NPI: 1306701859
Provider Name (Legal Business Name): TRUE SUPPORT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W 4TH ST
DEER PARK NY
11729-5114
US

IV. Provider business mailing address

202 W 4TH ST
DEER PARK NY
11729-5114
US

V. Phone/Fax

Practice location:
  • Phone: 646-567-5668
  • Fax:
Mailing address:
  • Phone: 646-567-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HASAN ALI
Title or Position: CHIEF CLINICAL OFFICER
Credential: LCSW
Phone: 646-567-5668