Provider Demographics
NPI:1417035387
Name:FAMILY COUNSELING SERVICE OF THE FINGER LAKES, INC
Entity type:Organization
Organization Name:FAMILY COUNSELING SERVICE OF THE FINGER LAKES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-789-2613
Mailing Address - Street 1:671 SOUTH EXCHANGE STREET
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:671 SOUTH EXCHANGE STREET
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456
Practice Address - Country:US
Practice Address - Phone:315-789-2613
Practice Address - Fax:315-789-2524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health