Organization
MY THERAPIST LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE DUBOSE FOULKES LCSW (PSYCHOTHERAPIST OWNER)
(914) 734-2205
Entity
Organization
Contact information
Practice address
2880 BAISLEY AVE, BRONX, NY 10461-6117
(914) 734-2205
(914) 734-2203
Mailing address
26 SNIFFEN MOUNTAIN RD, CORTLANDT MANOR, NY 10567-6404
(914) 734-2205
(914) 734-2203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R048253-1
NY
Other
Enumeration date
06/03/2007
Last updated
12/26/2023
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