| Practical Online Therapy Lcsw Pllc | |
|
10417 35th Ave Corona NY 11368-1933 | |
| (347) 848-2237 | |
| Not Available |
| Full Name | Practical Online Therapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10417 35th Ave, Corona, New York |
| Authorized Official Name and Position | Nixaly Yakubov (FOUNDER) |
| Authorized Official Contact | 3478482237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Online Therapy Lcsw Pllc 45 Eckert St Huntington Station NY 11746-3842 Ph: (347) 848-2237 | Practical Online Therapy Lcsw Pllc 10417 35th Ave Corona NY 11368-1933 Ph: (347) 848-2237 |
| NPI Number | 1154105609 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154105609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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