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Organization
THERAPY BROOKLYN MENTAL HEALTH COUNSELING PLLC
Active
Organization
THERAPY BROOKLYN MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA MOORE (LICENSED MENTAL HEALTH COUNSELOR)
(917) 376-3564
Entity
Organization
Contact information
Practice address
67 WEST ST STE 401, BROOKLYN, NY 11222-5391
(347) 752-1259
Mailing address
67 WEST ST STE 401, BROOKLYN, NY 11222-5391
(347) 752-1259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386079895
INDIVIDUAL NPI
NY
Enumeration date
08/16/2018
Last updated
01/11/2022
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