Organization
BUTTERFLY BEHAVIORAL HEALTH SERVICES, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHOUCHA EDOUARD (EXECUTIVE DIRECTOR)
(917) 757-5616
Entity
Organization
Contact information
Practice address
3325 90TH ST APT 5E, JACKSON HEIGHTS, NY 11372-1612
(917) 757-5616
Mailing address
3325 90TH ST APT 5E, JACKSON HEIGHTS, NY 11372-1612
(191) 775-7561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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