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INTEGRATIVE THERAPY CENTER LLC NPI 1669080610


NPI Information

NPI: 1669080610
Provider Name: INTEGRATIVE THERAPY CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
242 W 30TH ST RM 602
NEW YORK, NY
ZIP 10001
Phone: (917) 268-9213
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INTEGRATIVE THERAPY CENTER LLC is a mental health counselor in New York, NY. INTEGRATIVE THERAPY CENTER LLC NPI is 1669080610. The provider is registered as an organization entity type.

The provider's business location address is:

242 W 30TH ST RM 602
NEW YORK, NY
ZIP 10001-954
Phone: (917) 268-9213

The provider's authorized official is Juan Jose Robles Gil Aleman .
The authorized official title is Owner and has the following contact phone number (617) 784-4246.

The enumeration date for this NPI number is 7/15/2020 and was last updated on 7/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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