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Organization
PSYCHOTHERAPY AT HOME, LCSW, PLLC
Active
Organization
PSYCHOTHERAPY AT HOME, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA J LEGRANDE LCSW (OWNER)
(516) 302-5645
Entity
Organization
Contact information
Practice address
326 SEA CLIFF ST, ISLIP TERRACE, NY 11752-1109
(516) 302-5645
Mailing address
700 FULTON ST APT M3, FARMINGDALE, NY 11735-3447
(516) 302-5645
(631) 647-2058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03461263
—
NY
Enumeration date
02/25/2019
Last updated
02/07/2023
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