Organization
THE DORM LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BAKER (DIRECTOR OF CLINICAL OPERATIONS)
(202) 893-2106
Entity
Organization
Contact information
Practice address
175 W 72ND ST FRNT 2, NEW YORK, NY 10023-3203
(877) 909-3676
Mailing address
175 W 72ND ST FRNT 2, NEW YORK, NY 10023-3203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
10/04/2021
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