Middle Way Psychotherapy, Lcsw P.C.
Social Worker, Clinical in Brooklyn, NY. Organization (NPI-2).
NPI number1982187977
StatusActive
Last updated in NPPESSep 14, 2018
Details
- NPI
- 1982187977
- Entity type
- Organization (NPI-2)
- Legal business name
- Middle Way Psychotherapy, Lcsw P.C.
- Organization subpart
- No
- Enumeration date
- Sep 14, 2018
- Last updated
- Sep 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
115 Henry St Ste 1fBrooklyn, NY 11201-2512
Phone 607-260-1161
Mailing address
936 Saint Marks Ave Apt 1eBrooklyn, NY 11213-2017
Phone 646-468-2152
Authorized official
Tara S. Rullo
Owner
3476619645
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