Organization
LISTENING EAR COUNSELING AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NISHA CATHERINE THAYIL MANGLANI I LCSW (THERAPIST)
(914) 602-1003
Entity
Organization
Contact information
Practice address
36 WATERGATE DR, AMAWALK, NY 10501-1107
(914) 602-1003
Mailing address
36 WATERGATE DR, AMAWALK, NY 10501-1107
(914) 602-1003
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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