Organization
MAISHA CAMPBELL, LCSW LLC
Active
Other names
Cultivating Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAISHA CAMPBELL LCSW (OWNER)
(929) 265-0332
Entity
Organization
Contact information
Practice address
1450 ALLERTON AVE FRNT A, BRONX, NY 10469-5626
(929) 265-0332
Mailing address
1450 ALLERTON AVE FRNT A, BRONX, NY 10469-5626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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