Organization
BASE MATTER PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYCE FROEHLICH LCSW (OWNER)
(718) 275-0667
Entity
Organization
Contact information
Practice address
303 5TH AVE RM 1509, NEW YORK, NY 10016-6656
(718) 275-9667
Mailing address
303 5TH AVE RM 1509, NEW YORK, NY 10016-6656
(718) 275-9667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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