MEDICARE: CONVENIENT COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578342523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONVENIENT COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	202 WALTON ST STE 203
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13202-1373
Country	:	US
Telephone Number	:	315-333-7773
Fax Number	:	315-333-7774

Provider Business Practice Location Address
First Line	:	202 WALTON ST STE 203
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13202-1373
Country	:	US
Telephone Number	:	315-333-7773
Fax Number	:	315-333-7774

Authorized Official
Title or Position	:	OWNER
Name	:	ALICIA LINDSEY MURRAY
Credential	:	LMHC
Telephone Number	:	315-333-7773

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	11/05/2025

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