Organization
LIFTED HEART MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BOOTH LMHC (THERAPIST/OWNDER)
(518) 480-7337
Entity
Organization
Contact information
Practice address
820 STATE ROUTE 9 UNIT 4720, QUEENSBURY, NY 12804-5425
(518) 480-7337
Mailing address
820 STATE ROUTE 9 UNIT 4720, QUEENSBURY, NY 12804-5425
(518) 480-7337
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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