Provider Demographics
NPI:1588098180
Name:CONSULTATION SERVICES INC
Entity type:Organization
Organization Name:CONSULTATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAZZOLARI-NAPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:516-543-4611
Mailing Address - Street 1:35 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1425
Mailing Address - Country:US
Mailing Address - Phone:516-543-4611
Mailing Address - Fax:516-232-8611
Practice Address - Street 1:35 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1425
Practice Address - Country:US
Practice Address - Phone:516-543-4611
Practice Address - Fax:516-232-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0777521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty