Organization
COMPREHENSIVE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE BENJAMIN LCSW-R (CLINICAL SUPERVISOR)
(347) 262-6434
Entity
Organization
Contact information
Practice address
291 BROADWAY, NEW YORK, NY 10007-1814
(212) 267-2670
(212) 267-2665
Mailing address
291 BROADWAY, NEW YORK, NY 10007-1814
(212) 267-2670
(212) 267-2665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
074052-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2233456791
—
NY
Enumeration date
04/09/2015
Last updated
04/09/2015
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