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Organization
URBAN MENTAL HEALTH COUNSELING SERVICES PLLC
Active
Organization
URBAN MENTAL HEALTH COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAZE BATHOLOMEW IBHAWA LMHC (MENTAL HEALTH COUNSELOR)
(716) 322-9088
Entity
Organization
Contact information
Practice address
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2608
(716) 205-0325
Mailing address
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2608
(716) 205-0325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
07/08/2025
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