| Lightwork Therapy, Pllc | |
|
264 W Main St Gouverneur NY 13642-1333 | |
| (315) 753-8710 | |
| Not Available |
| Full Name | Lightwork Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 264 W Main St, Gouverneur, New York |
| Authorized Official Name and Position | Miranda Rohe (OWNER/THERAPIST) |
| Authorized Official Contact | 3157538710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightwork Therapy, Pllc 264 W Main St Gouverneur NY 13642-1333 Ph: (315) 753-8710 | Lightwork Therapy, Pllc 264 W Main St Gouverneur NY 13642-1333 Ph: (315) 753-8710 |
| NPI Number | 1073395869 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073395869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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