Healthcare Provider Details

I. General information

NPI: 1609544113
Provider Name (Legal Business Name): SK MENTAL HEALTH COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FULTON AVE STE 304
HEMPSTEAD NY
11550-3702
US

IV. Provider business mailing address

175 FULTON AVE STE 304
HEMPSTEAD NY
11550-3702
US

V. Phone/Fax

Practice location:
  • Phone: 516-884-2360
  • Fax:
Mailing address:
  • Phone: 516-884-2360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: SILVIA C. KAUNAS
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 516-884-2360