Provider Demographics
NPI:1386048494
Name:OPEN DOORS COUNSELING
Entity type:Organization
Organization Name:OPEN DOORS COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-406-3119
Mailing Address - Street 1:2023 ROUTE 9
Mailing Address - Street 2:USHERS PARK 9
Mailing Address - City:ROUND LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12151-1701
Mailing Address - Country:US
Mailing Address - Phone:518-406-3119
Mailing Address - Fax:518-406-3119
Practice Address - Street 1:2023 ROUTE 9
Practice Address - Street 2:USHERS PARK 9
Practice Address - City:ROUND LAKE
Practice Address - State:NY
Practice Address - Zip Code:12151-1701
Practice Address - Country:US
Practice Address - Phone:518-406-3119
Practice Address - Fax:518-406-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081962-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health