Integrative Therapy Center LLC
Counselor, Mental Health in New York, NY. Organization (NPI-2).
NPI number1669080610
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1669080610
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Therapy Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2020
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
242 W 30th St Rm 602New York, NY 10001-4954
Phone 917-268-9213
Mailing address
242 W 30th St Rm 602New York, NY 10001-4954
Phone 917-268-9213
Authorized official
Juan Jose Robles Gil Aleman
Owner
6177844246
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