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Organization
GOTHAM PSYCHOTHERAPY, LCSW, PLLC
Active
Organization
GOTHAM PSYCHOTHERAPY, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA MANNINO LCSW-R (FOUNDER)
(212) 810-1724
Entity
Organization
Contact information
Practice address
405 LEXINGTON AVE STE 2606, NEW YORK, NY 10174-0002
(212) 810-1724
Mailing address
405 LEXINGTON AVE STE 2606, NEW YORK, NY 10174-0002
(212) 810-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477707578
NPI
—
01
—
1669369161
NPI
NY
01
—
1699488049
NPI
—
01
—
1730076142
NPI
NY
Enumeration date
05/09/2024
Last updated
06/18/2025
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