Organization
VILLAGE THERAPY SERVICES LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRET KIRKUP LCSW (OWNER)
(914) 275-2040
Entity
Organization
Contact information
Practice address
87 WOLFS LN, PELHAM, NY 10803-1831
(914) 275-2040
Mailing address
28 PERSHING AVE, NEW ROCHELLE, NY 10801-2317
(914) 275-2040
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/12/2024
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