| Kensho Psychotherapy, Lcsw, Pllc | |
|
381 Sunrise Hwy Ste 602 Lynbrook NY 11563-3006 | |
| (347) 868-7813 | |
| Not Available |
| Full Name | Kensho Psychotherapy, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 381 Sunrise Hwy Ste 602, Lynbrook, New York |
| Authorized Official Name and Position | Amanda Fludd (OWNER) |
| Authorized Official Contact | 7182083914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kensho Psychotherapy, Lcsw, Pllc 14410 256th St Rosedale NY 11422-2543 Ph: (718) 208-3914 | Kensho Psychotherapy, Lcsw, Pllc 381 Sunrise Hwy Ste 602 Lynbrook NY 11563-3006 Ph: (347) 868-7813 |
| NPI Number | 1205391018 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205391018 | NPI | - | NPPES |
| 1184822587 | Medicaid | NY | |
| 938144 | Other | NY | BEACON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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