Organization
GENTLE GROWTH THERAPEUTIC SERVICES, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETITIA VICTORIA COBURN LCSW (OWNER)
(914) 471-2632
Entity
Organization
Contact information
Practice address
522 NORTH STATE ROAD, #202, BRIARCLIFF MANOR, NY 10510
(914) 471-2632
(914) 944-0595
Mailing address
1872 PLEASANTVILLE ROAD, #129, BRIARCLIFF MANOR, NY 10510
(914) 471-2632
(914) 944-0595
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCSW 052250
NY
261QM0850X
Adult Mental Health Clinic/Center
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Other
Enumeration date
01/08/2009
Last updated
06/20/2024
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