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Organization
SYSTEMIC PSYCHOTHERAPY LCSW, PLLC
Active
Organization
SYSTEMIC PSYCHOTHERAPY LCSW, PLLC
Active
Parent organization
SYSTEMIC PSYCHOTHERAPY, LLC
Other names
Systemic Psychotherapy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYSTEMIC PSYCHOTHERAPY, LLC
Authorized official
ANDREA OTT LCSW (OWNER AND FOUNDER)
(203) 970-4738
Entity
Organization
Contact information
Practice address
420 WESTCHESTER AVE # 2B, PORT CHESTER, NY 10573-3600
(203) 970-4738
Mailing address
420 WESTCHESTER AVE # 2B, PORT CHESTER, NY 10573-3600
(203) 970-4738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06296166
—
NY
Enumeration date
08/19/2022
Last updated
08/19/2022
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