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Organization
MAISHA CAMPBELL, LCSW LLC
Active
Organization
MAISHA CAMPBELL, LCSW LLC
Active
Other names
Cultivating Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAISHA CAMPBELL LCSW (OWNER)
(929) 265-0332
Entity
Organization
Contact information
Practice address
1450 ALLERTON AVE FRNT A, BRONX, NY 10469-5626
(929) 265-0332
Mailing address
1450 ALLERTON AVE FRNT A, BRONX, NY 10469-5626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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