Premier Counseling & Psychotherapy
Social Worker, Clinical in New York, NY. Organization (NPI-2).
NPI number1083176770
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1083176770
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Counseling & Psychotherapy
- Organization subpart
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Mr. (Other Name)
Practice location
347 5th Ave Rm 703aNew York, NY 10016-5036
Phone 929-376-9303
Mailing address
347 5th Ave Rm 703aNew York, NY 10016-5036
Phone 929-376-9303
Authorized official
Tyler Mendoza
Ceo
7188256810
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