Basic Information
| Provider Information | |||||||||
| NPI: | 1790890135 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALSSARO COUNSELING SERVICES, LCSW, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 481 MAIN ST | ||||||||
| Address2: | 403-A | ||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108016324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149124859 | ||||||||
| FaxNumber: | 9142350822 | ||||||||
| Practice Location | |||||||||
| Address1: | 481 MAIN ST STE 401 | ||||||||
| Address2: | |||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108016360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143552440 | ||||||||
| FaxNumber: | 9142350822 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2006 | ||||||||
| LastUpdateDate: | 04/09/2018 | ||||||||
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| AuthorizedOfficialLastName: | ALGARIN | ||||||||
| AuthorizedOfficialFirstName: | YHATRID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9143552440 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSWR | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 069398-1 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.