Provider Demographics
NPI:1487474193
Name:CHI COUNSELING SERVICES, LCSW, PLLC
Entity type:Organization
Organization Name:CHI COUNSELING SERVICES, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YUANFEN
Authorized Official - Middle Name:LIU
Authorized Official - Last Name:CHI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-878-0776
Mailing Address - Street 1:4170 MAIN ST # B31012
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3823
Mailing Address - Country:US
Mailing Address - Phone:718-878-0776
Mailing Address - Fax:
Practice Address - Street 1:4170 MAIN ST # B31012
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3823
Practice Address - Country:US
Practice Address - Phone:718-878-0776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty