Root And Renew Therapy Lcsw PLLC
Social Worker, Clinical in Garden City, NY. Organization (NPI-2).
NPI number1184575813
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1184575813
- Entity type
- Organization (NPI-2)
- Legal business name
- Root And Renew Therapy Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2026
- Certification date
- Feb 8, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
585 Stewart AveGarden City, NY 11530-4783
Phone 917-810-5600
Mailing address
85 Soundview RdHuntington, NY 11743-4106
Phone 917-789-2497
Authorized official
Alexandra Mezeul
Lcsw, Owner
9177892497
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