Organization
INTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC
Active
Organization
INTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC
Active
Other names
Root & Rise Clinical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE STARK LCSW (CLINICIAN & PARTNER)
(934) 246-6042
Entity
Organization
Contact information
Practice address
100 MARINERS WAY, PORT JEFFERSON, NY 11777-1848
(934) 246-6042
Mailing address
100 MARINERS WAY, PORT JEFFERSON, NY 11777-1848
(934) 246-6042
(631) 201-7390
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2025
Last updated
11/05/2025
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