| Breathe Licensed Clinical Social Work Services | |
|
110 E 17th St Garden Level New York NY 10003-2178 | |
| (954) 678-0078 | |
| Not Available |
| Full Name | Breathe Licensed Clinical Social Work Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 110 E 17th St, New York, New York |
| Authorized Official Name and Position | Brad Lamm (OWNER) |
| Authorized Official Contact | 9546780078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Licensed Clinical Social Work Services 27 W 20th St Unit 405 New York NY 10011-3707 Ph: () - | Breathe Licensed Clinical Social Work Services 110 E 17th St Garden Level New York NY 10003-2178 Ph: (954) 678-0078 |
| NPI Number | 1386073013 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386073013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (New York) | Primary |
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