| Organization Name: | SOUTHEAST COUNSELING ASSOCIATES, LTD |
| NPI Number: | 1225429368 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HERBERT NIEBURG (PRESIDENT) |
| Mailing Address: | 185 S Broad St Suite 103 Pawcatuck |
| State: | CT US |
| Postal Code: | 063791997 |
| Phone Number: | 4014652914 |
| Fax Number: | 4013220883 |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 008200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |