| Organization Name: | HIGHLAND COUNSELING SERVICES LCSW LLC |
| NPI Number: | 1013944396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLORIA DAWN LORENTZEN (CLINICAL DIRECTOR SOCIAL WORKER) |
| Mailing Address: | 585 Rte. 55 Eldred |
| State: | NY US |
| Postal Code: | 12732 |
| Phone Number: | 8456998036 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 05/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P061519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |