Organization
BIG TALKS WORKSHOPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIA WOOD (PROVIDER ENROLLMENT SPECIALIST)
(615) 224-8716
Entity
Organization
Contact information
Practice address
26 COURT ST STE 504, BROOKLYN, NY 11242-1105
(585) 653-8531
Mailing address
100 WOODRUFF AVE APT 1D, BROOKLYN, NY 11226-1206
(585) 653-8531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750775631
AETNA, BCBS
NY
Enumeration date
02/08/2019
Last updated
02/08/2019
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