Healthcare Provider Details

I. General information

NPI: 1376479535
Provider Name (Legal Business Name): ACCESS: SUPPORTS FOR LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 BROADWAY STE 205
KINGSTON NY
12401-5159
US

IV. Provider business mailing address

368 BROADWAY STE 205
KINGSTON NY
12401-5159
US

V. Phone/Fax

Practice location:
  • Phone: 888-750-2266
  • Fax:
Mailing address:
  • Phone: 888-750-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. VICTORIA SARAH YOUNG
Title or Position: LICENSED THERAPIST
Credential: LMSW-LP
Phone: 888-750-2266