| Diversity In Practice, Lcsw, Pllc | |
|
127 W 30th St Fl 9 New York NY 10001-3406 | |
| (646) 389-5094 | |
| Not Available |
| Full Name | Diversity In Practice, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 127 W 30th St Fl 9, New York, New York |
| Authorized Official Name and Position | Melvin Julius Owens (FOUNDER/CEO) |
| Authorized Official Contact | 6463895094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity In Practice, Lcsw, Pllc 127 W 30th St Fl 9 New York NY 10001-3406 Ph: (646) 389-5094 | Diversity In Practice, Lcsw, Pllc 127 W 30th St Fl 9 New York NY 10001-3406 Ph: (646) 389-5094 |
| NPI Number | 1104536812 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104536812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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