Provider Demographics
NPI:1124336474
Name:SANTA CECILIA CONSULTATION, INC
Entity type:Organization
Organization Name:SANTA CECILIA CONSULTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRANAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW R
Authorized Official - Phone:347-577-5844
Mailing Address - Street 1:2960 GRAND CONCOURSE APT L2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-1910
Mailing Address - Country:US
Mailing Address - Phone:347-577-5844
Mailing Address - Fax:347-577-5845
Practice Address - Street 1:2960 GRAND CONCOURSE APT L2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1910
Practice Address - Country:US
Practice Address - Phone:347-577-5844
Practice Address - Fax:347-577-5845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR050650-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty