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Organization
INTEGRATIVE PSYCHOTHERAPISTS LCSW LLC
Active
Organization
INTEGRATIVE PSYCHOTHERAPISTS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN KEENEY PHD, LCSW (SOCIAL WORKER/PSYCHOTHERAPIST)
(718) 981-6158
Entity
Organization
Contact information
Practice address
401 BLOOMINGDALE RD STE 4, STATEN ISLAND, NY 10309-2070
(718) 981-6158
(718) 981-6158
Mailing address
380 HENDERSON AVE, STATEN ISLAND, NY 10310-1617
(718) 448-3093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02449970
—
NY
Enumeration date
04/16/2018
Last updated
04/16/2018
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