Indigo Psychotherapy Lcsw PC
Social Worker, Clinical in New York, NY. Organization (NPI-2).
NPI number1730656992
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1730656992
- Entity type
- Organization (NPI-2)
- Legal business name
- Indigo Psychotherapy Lcsw PC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2018
- Last updated
- Oct 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
330 W 58th St Ste 409New York, NY 10019-1820
Phone 413-537-6108
Mailing address
25 Woodbine St Apt 3rBrooklyn, NY 11221-5586
Phone 413-537-6108
Other practice locations
117 Dobbin St Ste 208
Brooklyn, NY 11222-2803
Brooklyn, NY 11222-2803
Phone 646-378-3816
Authorized official
Rebecca Walaszek
Owner
4135376108
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