Organization
LWM MENTAL HEALTH SPECIALIST LLC
Active
Parent organization
LWM MENTAL HEALTH SPECIALIST LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LWM MENTAL HEALTH SPECIALIST LLC
Authorized official
DR. LAUREE WOLIN MITCHELL PHD (CLINICAL PSYCHOLOGIST)
(718) 399-6852
Entity
Organization
Contact information
Practice address
34 PLAZA STREET EAST, SUITE 102, BROOKLYN, NY 11238
(718) 399-6852
Mailing address
34 PLAZA STREET EAST, SUITE 102, BROOKLYN, NY 11238
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02816544
—
NY
Enumeration date
06/18/2019
Last updated
06/18/2019
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