| Essential Counseling Wellness Lcsw Pllc | |
|
99 Wall St Ste 580 New York NY 10005-4301 | |
| (917) 405-6352 | |
| (646) 767-0539 |
| Full Name | Essential Counseling Wellness Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 99 Wall St Ste 580, New York, New York |
| Authorized Official Name and Position | Keith Douglas Blackburn (CEO/THERAPIST) |
| Authorized Official Contact | 3474601305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Counseling Wellness Lcsw Pllc 583 5th St Brooklyn NY 11215-3503 Ph: () - | Essential Counseling Wellness Lcsw Pllc 99 Wall St Ste 580 New York NY 10005-4301 Ph: (917) 405-6352 |
| NPI Number | 1063053916 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063053916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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