Organization
TWO MOUNTAINS THERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEL MAISENBACHER (LCSW)
(929) 244-3779
Entity
Organization
Contact information
Practice address
3210 30TH AVE # 2L, ASTORIA, NY 11102-1562
(929) 244-3779
Mailing address
3210 30TH AVE # 2L, ASTORIA, NY 11102-1562
(929) 244-3779
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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