Shiloh Psychological Consulting

Across from the Garment District’s high-rise showrooms sits Shiloh Psychological Consulting, just one floor above the street noise where tailors step out for coffee breaks. The addiction treatment practice occupies space in a 1980s Midtown tower whose lobby lists law and advertising tenants on every floor plate. A practitioner here told me once a caller can ask about methadone stabilization, twelve-step coaching, or court-ordered evaluations, not to choose but to clarify which program best fits the need.

To meet with a counselor they’ll give out the same number you’ll see on their building’s directory: (212) 564-7631. You enter at 566 Fashion Ave floor 4, ride the elevator past the 3rd-floor gym mirrors, then push the buzzer marked only with the business letters. Medication-assisted therapy and relapse-prevention planning sit side by side in their scope; they also handle adolescent cannabis cessation groups under the same roof.

Traffic along Seventh Avenue thins out after 7 p.m., but the private entrance stays lit until the last session ends. Inside this clinic you won’t find sliding doors or a shared reception desk, just a quiet vestibule with buzzers for each office. They’ll ask if you’re coming from a detox unit, a family intervention, or a judge’s referral—the paperwork stream matches whichever angle you choose.

When the evening chill creeps off the Hudson, plot the route before the last subway leaves Times Square: follow the same directions joggers use on marathon weekend mornings.