INTEGRATED MOMENT PSYCHOTHERAPY LCSW P.C. NPI 1639717416

NPI Information

NPI: 1639717416
Provider Name: INTEGRATED MOMENT PSYCHOTHERAPY, LCSW, P.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
350 CENTRAL PARK W APT 1C
NEW YORK, NY
ZIP 10025
Phone: (917) 755-9570
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INTEGRATED MOMENT PSYCHOTHERAPY, LCSW, P.C. is a mental health (including community mental health center) clinic center in New York, NY. INTEGRATED MOMENT PSYCHOTHERAPY, LCSW, P.C. NPI is 1639717416. The provider is registered as an organization entity type.

The provider's business location address is:

350 CENTRAL PARK W APT 1C
NEW YORK, NY
ZIP 10025-842
Phone: (917) 755-9570

The provider's authorized official is Dan Liu .
The authorized official title is Founder and has the following contact phone number (917) 755-9570.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 12/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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