# ALTA PSYCHOTHERAPY LCSW PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225730450
- **Authorized official:** CHLOE SVOLAKOS LCSW (OWNER)
- **Authorized official phone:** (646) 760-9665

## Contact information

- **Practice address:** 36-13 24TH AVE, ASTORIA, NY 11103
- **Practice address phone:** (646) 760-9665
- **Mailing address:** 36-13 24TH AVE, ASTORIA, NY 11103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TE1100X | Exercise & Sports Psychologist | — | NULL | Yes |
| 103TE1100X | Exercise & Sports Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 05/09/2023