Organization · Type 2 NPI
Integrated Psychotherapy Counseling Lcsw, PLLC
Adult Mental Health Clinic/Center · Port Jefferson, NY
NPI number
1003609827
Active
Practice location
100 Mariners Way
Port Jefferson, NY 11777-1848
Other practice locations
- 5301 N Federal Hwy Ste 380, Boca Raton, FL 33487-4916 · (934) 246-6042
- 646 Main St Ste 102, Port Jefferson, NY 11777-2230 · (934) 246-6042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4 other providers at this address
- Mindful Med Management IncPsychiatric/Mental Health Nurse Practitioner Port Jefferson, NY NPI 1366242273
- TSL Massage Therapy PCHealth & Wellness Coach Port Jefferson, NY NPI 1194405100
- Melissa A. CascinoClinical Social Worker Port Jefferson, NY NPI 1679409379
- Suzanne D'addona, LMSWSocial Worker Port Jefferson, NY NPI 1679448054
About NPI 1003609827
Integrated Psychotherapy Counseling Lcsw, PLLC's National Provider Identifier is 1003609827, issued on May 24, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Port Jefferson, NY. The record was last updated on Nov 5, 2025.