Organization
THERAPEUTIC MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA GONZALEZ MPA,MS,LMHC (EXECUTIVE DIRECTOR)
(347) 526-0047
Entity
Organization
Contact information
Practice address
24825 NORTHERN BLVD STE 1J-174, LITTLE NECK, NY 11362-1211
(929) 464-6369
Mailing address
24825 NORTHERN BLVD STE 1J-174, LITTLE NECK, NY 11362-1211
(929) 464-6369
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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