Yellow Bird Psychotherapy
Social Worker, Clinical in Brooklyn, NY. Organization (NPI-2).
NPI number1710694930
StatusActive
Last updated in NPPESOct 28, 2022
Details
- NPI
- 1710694930
- Entity type
- Organization (NPI-2)
- Legal business name
- Yellow Bird Psychotherapy
- Organization subpart
- No
- Enumeration date
- Oct 28, 2022
- Certification date
- Oct 28, 2022
- Last updated
- Oct 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Yellow Bird Psychotherapy (Doing Business As)
Practice location
1120 Brighton Beach Ave Apt 6yBrooklyn, NY 11235-5507
Phone 646-761-3743
Mailing address
1120 Brighton Beach Ave Apt 6yBrooklyn, NY 11235-5507
Phone 646-761-3743
Authorized official
Ekaterina Mozer
Owner
6467613743
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