Organization
AUTESH THERAPY SERVICES, LCSW, PLLC
Active
Organization
AUTESH THERAPY SERVICES, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY AUDATE LCSW (OWNER)
(646) 423-1286
Entity
Organization
Contact information
Practice address
23318 130TH AVE, ROSEDALE, NY 11422-1102
(646) 423-1286
Mailing address
23318 130TH AVE, ROSEDALE, NY 11422-1102
(646) 423-1286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/09/2016
Last updated
06/14/2023
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