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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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