Provider Demographics
NPI:1366062333
Name:AURORA COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:AURORA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AVITABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-556-5222
Mailing Address - Street 1:225 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-2969
Mailing Address - Country:US
Mailing Address - Phone:347-556-5222
Mailing Address - Fax:
Practice Address - Street 1:225 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2969
Practice Address - Country:US
Practice Address - Phone:347-556-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty