Organization
UNION SQUARE PSYCHOTHERAPY, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH WOLF-POWERS MBA, LCSW (OWNER/MEMBER)
(917) 885-7892
Entity
Organization
Contact information
Practice address
44 E 12TH ST # MD-8, NEW YORK, NY 10003-4632
(917) 885-7892
Mailing address
44 E 12TH ST # MD-8, NEW YORK, NY 10003-4632
(917) 885-7892
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
086846
NY
Other
Enumeration date
08/25/2018
Last updated
12/12/2019
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