Organization
INTENTIONAL WELLNESS PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GOTTHEIMER LCSW (EXECUTIVE OFFICER)
(347) 998-4206
Entity
Organization
Contact information
Practice address
19 W 45TH ST STE 302, NEW YORK, NY 10036-4904
(347) 998-4206
Mailing address
635 RIVERSIDE DR APT 6C, NEW YORK, NY 10031-7118
(347) 998-4206
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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