Provider Demographics
NPI:1982810693
Name:ALAYON COUNSELING SERVICES CSW PC
Entity type:Organization
Organization Name:ALAYON COUNSELING SERVICES CSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:ALAYON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW ACSW BCD
Authorized Official - Phone:718-446-7286
Mailing Address - Street 1:34-15 77TH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372
Mailing Address - Country:US
Mailing Address - Phone:718-446-7286
Mailing Address - Fax:718-487-4533
Practice Address - Street 1:34-15 77TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372
Practice Address - Country:US
Practice Address - Phone:718-446-7286
Practice Address - Fax:718-487-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0239330104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty