| Community Psychotherapy Lcsw, Pllc | |
|
11 W Prospect Ave Mount Vernon NY 10550-2017 | |
| (888) 931-3303 | |
| (888) 635-9933 |
| Full Name | Community Psychotherapy Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11 W Prospect Ave, Mount Vernon, New York |
| Authorized Official Name and Position | Preston J Lanier (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 8889313303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Psychotherapy Lcsw, Pllc 6 E Sussex Pl New Castle DE 19720-8801 Ph: (888) 931-3303 | Community Psychotherapy Lcsw, Pllc 11 W Prospect Ave Mount Vernon NY 10550-2017 Ph: (888) 931-3303 |
| NPI Number | 1407482938 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407482938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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