Organization
BESPOKE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HAZAN (OWNER)
(917) 453-9306
Entity
Organization
Contact information
Practice address
1300 N LAUREL AVE APT 17, WEST HOLLYWOOD, CA 90046-4613
(646) 374-2827
Mailing address
401 W 25TH ST APT 13C, NEW YORK, NY 10001-6575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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