Organization
THERAPEUTIC SANCTUARY COUNSELING & PLAY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA MICOLA BENSON LCSW (OWNER)
(716) 446-4168
Entity
Organization
Contact information
Practice address
3960 HARLEM RD STE 13, AMHERST, NY 14226-4746
(716) 446-4168
Mailing address
3960 HARLEM RD STE 13, AMHERST, NY 14226-4746
(716) 446-4168
(716) 446-4140
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2020
Last updated
08/09/2021
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