Organization
TAPESTRY PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN ELIZABETH WYNN LCSW (PRESIDENT)
(917) 733-2899
Entity
Organization
Contact information
Practice address
853 BROADWAY STE 2001, NEW YORK, NY 10003-4705
(917) 733-2899
Mailing address
853 BROADWAY STE 2001, NEW YORK, NY 10003-4705
(917) 733-2899
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
083839-1
NY
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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