Healthcare Provider Details

I. General information

NPI: 1023413960
Provider Name (Legal Business Name): COUNSELING CENTER AT YORKTOWN HEIGHTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAPLE HILL ST
YORKTOWN HEIGHTS NY
10598-4176
US

IV. Provider business mailing address

2328 10TH AVE N
LAKE WORTH FL
33461-6606
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-5101
  • Fax:
Mailing address:
  • Phone: 561-318-4411
  • Fax: 561-228-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number#151011810
License Number StateNY

VIII. Authorized Official

Name: MR. STOKES AITKEN
Title or Position: COO
Credential:
Phone: 561-318-4411