Organization
EMILIE K PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIE KATHERINE CLARK LCSW (OWNER)
(929) 399-6755
Entity
Organization
Contact information
Practice address
90 BROAD ST RM 1038, NEW YORK, NY 10004-2205
(929) 399-6755
Mailing address
90 BROAD ST RM 1038, NEW YORK, NY 10004-2205
(929) 399-6755
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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