# REENVISION MARRIAGE AND FAMILY THERAPY

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

## Provider details

- **NPI number:** 1942951363
- **Authorized official:** MRS. MICHELLE SENA PARK M.A., LMFT (OWNER/FOUNDER/THERAPIST)
- **Authorized official phone:** (718) 354-6738

## Contact information

- **Practice address:** 3328 164TH ST FL 1, FLUSHING, NY 11358-1442
- **Practice address phone:** (718) 354-6738
- **Mailing address:** 4003 164TH ST UNIT 580161, FLUSHING, NY 11358-2686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2022
- **Last updated:** 01/18/2022