Basic Information
| Provider Information | |||||||||
| NPI: | 1790978880 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | THE GUIDANCE CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 70 GRAND ST | ||||||||
| Address2: | |||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108015606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146364440 | ||||||||
| FaxNumber: | 9146365231 | ||||||||
| Practice Location | |||||||||
| Address1: | 70 GRAND ST | ||||||||
| Address2: | |||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108015606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146364440 | ||||||||
| FaxNumber: | 9146365231 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2007 | ||||||||
| LastUpdateDate: | 08/22/2007 | ||||||||
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| AuthorizedOfficialLastName: | GROSSETT | ||||||||
| AuthorizedOfficialFirstName: | MARIE-ELENA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CLINIC DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9146364440 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | LCSW-R | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | NY | Y | Agencies | Community/Behavioral Health |
No ID Information.