Organization
INTUITIVE PSYCHOTHERAPY NYC LCSW PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L ROTH-GOLDBERG LCSW (OWNER)
(917) 239-7199
Entity
Organization
Contact information
Practice address
303 5TH AVE RM 1608, NEW YORK, NY 10016-6601
(917) 239-7199
Mailing address
140 W END AVE APT 7H, NEW YORK, NY 10023-6146
(917) 239-7199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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